Organization
HUTSON PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEILA HUTSON PSY.D (PSYCHOLOGIST)
(417) 839-1156
Entity
Organization
Contact information
Practice address
1638C E REPUBLIC RD, SPRINGFIELD, MO 65804-6509
(417) 839-1156
(417) 882-7765
Mailing address
1638C E REPUBLIC RD, SPRINGFIELD, MO 65804-6509
(417) 839-1156
(417) 882-7765
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2000159807
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
494998016
—
MO
Enumeration date
09/04/2007
Last updated
10/03/2007
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