Healthcare Provider Details

I. General information

NPI: 1538288246
Provider Name (Legal Business Name): DOUGLAS STEPHEN HUGHES M.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

795 MIDDLE ST
FALL RIVER MA
02721-1733
US

IV. Provider business mailing address

194 CONE ST
DARTMOUTH MA
02747-4105
US

V. Phone/Fax

Practice location:
  • Phone: 508-675-5640
  • Fax: 508-674-4626
Mailing address:
  • Phone: 774-202-3658
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: