Doctor Name: | PAGE I HUGHES |
NPI Number: | 1093062929 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | IMH10034 |
Business Practice Address: | 3420 Us Hwy 27-441 Fruitland Park, FL - 34731 |
Business Phone Number: | 3524354631 |
Business Fax Number: | |
Mailing Address: | 209 Fernwood St, LEESBURG |
State: | FL |
Postal Code: | 347487105 |
Phone Number: | 3525160656 |
Fax Number: | |
NPI Enumeration Date: | 08/09/2012 |
NPI Last Update Date: | 08/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | IMH10034 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |