Provider Demographics
NPI:1124130562
Name:HUTCHENS, MELISSA DAWN (MD)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:DAWN
Last Name:HUTCHENS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8802 S ROUTE N
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-9352
Mailing Address - Country:US
Mailing Address - Phone:573-256-2774
Mailing Address - Fax:
Practice Address - Street 1:8802 S ROUTE N
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-9352
Practice Address - Country:US
Practice Address - Phone:573-256-2774
Practice Address - Fax:573-256-2775
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20070227252084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry