Provider Demographics
NPI:1699947101
Name:HUTCHINSON, ERIC PAUL (PHD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:PAUL
Last Name:HUTCHINSON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2394 STEPPING STONES WAY
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80904-2772
Mailing Address - Country:US
Mailing Address - Phone:719-651-3568
Mailing Address - Fax:719-329-1901
Practice Address - Street 1:5855 LEHMAN DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-3423
Practice Address - Country:US
Practice Address - Phone:719-329-1900
Practice Address - Fax:719-329-1901
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-25
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2896103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist