| Jeffrey D Hughes, Psyd Llc | |
|
340 Broadway Providence RI 02909-1102 | |
| (401) 243-7210 | |
| (401) 490-2619 |
| Full Name | Jeffrey D Hughes, Psyd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 340 Broadway, Providence, Rhode Island |
| Authorized Official Name and Position | Jeffrey D Hughes (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 4012437210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey D Hughes, Psyd Llc 340 Broadway Providence RI 02909-1102 Ph: (401) 243-7210 | Jeffrey D Hughes, Psyd Llc 340 Broadway Providence RI 02909-1102 Ph: (401) 243-7210 |
| NPI Number | 1649591611 |
|---|---|
| Provider Enumeration Date | 06/14/2010 |
| Last Update Date | 11/09/2011 |
| Medicare PECOS PAC ID | 9032382825 |
|---|---|
| Medicare Enrollment ID | O20111021000325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649591611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS00979 (Rhode Island) | Primary |
| Provider Name | Jeffrey D Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548346240 PECOS PAC ID: 3072616671 Enrollment ID: I20070320000583 |
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