Individual
EARL HITCHCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 MICHIGAN AVE W, BATTLE CREEK, MI 49017-3602
(269) 966-1460
(269) 966-2844
Mailing address
140 MICHIGAN AVE W, BATTLE CREEK, MI 49017-3602
(269) 966-1460
(269) 966-2844
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6401015675
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401015675
LICENSE NUMBER
MI
Enumeration date
10/09/2017
Last updated
10/09/2017
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