Individual
KIMBERLY S HUTCHINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
710 OAKFIELD DR STE 252, BRANDON, FL 33511-4924
(239) 295-6564
(888) 801-3850
Mailing address
PO BOX 100166, CAPE CORAL, FL 33910-0166
(239) 295-6564
(888) 801-3850
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1330
LA
103G00000X
Clinical Neuropsychologist
PY9204
FL
103T00000X
Psychologist
1330
LA
103T00000X
Psychologist
9204
FL
103T00000X
Psychologist
PY9204
FL
103TC0700X
Clinical Psychologist
1330
LA
103TC0700X
Clinical Psychologist
PY9204
FL
103TR0400X
Rehabilitation Psychologist
1330
LA
103TR0400X
Rehabilitation Psychologist
PY9204
FL
Other
Enumeration date
07/22/2015
Last updated
01/31/2025
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