Provider Demographics
NPI:1699896670
Name:HUGHES, CAROL ANN (MA)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:ANN
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 1:410 S MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-3221
Mailing Address - Country:US
Mailing Address - Phone:724-836-1214
Mailing Address - Fax:724-836-6197
Practice Address - Street 1:410 S MAPLE AVE
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-3221
Practice Address - Country:US
Practice Address - Phone:724-836-1214
Practice Address - Fax:724-836-6197
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS005987L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01577124OtherMEDICAL ASSISTANCE