Provider Demographics
NPI:1285056788
Name:HUTCHINGS, PHILINDA SMITH (PHD)
Entity type:Individual
Prefix:
First Name:PHILINDA
Middle Name:SMITH
Last Name:HUTCHINGS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19555 N 59TH AVE
Mailing Address - Street 2:CLINICAL PSYCHOLOGY PROGRAM
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-6813
Mailing Address - Country:US
Mailing Address - Phone:623-572-3861
Mailing Address - Fax:623-572-3692
Practice Address - Street 1:19555 N 59TH AVE
Practice Address - Street 2:CLINICAL PSYCHOLOGY PROGRAM
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-6813
Practice Address - Country:US
Practice Address - Phone:623-572-3861
Practice Address - Fax:623-572-3692
Is Sole Proprietor?:No
Enumeration Date:2014-01-17
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3389103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical