Healthcare Provider Details

I. General information

NPI: 1659906717
Provider Name (Legal Business Name): CAITLIN ELIZABETH HUGHES MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2020
Last Update Date: 03/10/2020
Certification Date: 03/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 MAIN ST N STE 2B
WOODBURY CT
06798-2953
US

IV. Provider business mailing address

1 LINCOLN RD
NEWTOWN CT
06470-2012
US

V. Phone/Fax

Practice location:
  • Phone: 203-263-3175
  • Fax:
Mailing address:
  • Phone: 908-303-2785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4302
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: