Provider Demographics
NPI:1528252236
Name:HUGHES, MARINELY (MA)
Entity type:Individual
Prefix:
First Name:MARINELY
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:ATGLEN
Mailing Address - State:PA
Mailing Address - Zip Code:19310-9446
Mailing Address - Country:US
Mailing Address - Phone:610-563-6745
Mailing Address - Fax:
Practice Address - Street 1:302 HIGH ST
Practice Address - Street 2:
Practice Address - City:ATGLEN
Practice Address - State:PA
Practice Address - Zip Code:19310-9446
Practice Address - Country:US
Practice Address - Phone:610-563-6745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-05
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health