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NPI Code Detail

MEDICARE: ROXANNE HUGHES-WHEATLAND PHD

MEDICARE: ROXANNE HUGHES-WHEATLAND PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103G00000XClinical Neuropsychologist02723MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952420820
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROXANNE HUGHES-WHEATLAND PHD
Provider Business Mailing Address
First Line : 3355 SAINT JOHNS LN STE F
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21042-2600
Country : US
Telephone Number : 443-472-2923
Fax Number : 410-480-0110
Provider Business Practice Location Address
First Line : 3355 SAINT JOHNS LN STE F
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21042-2600
Country : US
Telephone Number : 443-472-2923
Fax Number : 410-480-0110
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2007
Last Update Date : 10/01/2019

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