Provider Demographics
NPI:1902601024
Name:HUTCHCROFT, TEAGAN ANN
Entity type:Individual
Prefix:
First Name:TEAGAN
Middle Name:ANN
Last Name:HUTCHCROFT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 W INDIGO DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-4538
Mailing Address - Country:US
Mailing Address - Phone:815-893-7963
Mailing Address - Fax:
Practice Address - Street 1:2855 E BROWN RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85213-4213
Practice Address - Country:US
Practice Address - Phone:480-997-1220
Practice Address - Fax:480-444-1420
Is Sole Proprietor?:No
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician