Provider Demographics
NPI:1194948174
Name:HUGHES, SUSANNAH KURY (PHD)
Entity type:Individual
Prefix:DR
First Name:SUSANNAH
Middle Name:KURY
Last Name:HUGHES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9302 SAINT ANDREWS WAY
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-4831
Mailing Address - Country:US
Mailing Address - Phone:301-562-2170
Mailing Address - Fax:301-562-8058
Practice Address - Street 1:9302 SAINT ANDREWS WAY
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-4831
Practice Address - Country:US
Practice Address - Phone:301-562-2170
Practice Address - Fax:301-562-8058
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03654103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist