NPI Code Details Logo

NPI 1982748562

NPI 1982748562 : GREGORY LAWRENCE HUGHES MS,LLP : CLINTON TOWNSHIP, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1982748562
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    GREGORY LAWRENCE HUGHES MS,LLP
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/16/2007
-----------------------------------------------------
    Last Update Date     |    09/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    43740 N GROESBECK HWY 
-----------------------------------------------------
    City                 |    CLINTON TOWNSHIP
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48036-1139
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    586-469-7629
-----------------------------------------------------
    Fax                  |    586-466-4143
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    21202 SUMMERFIELD DR 
-----------------------------------------------------
    City                 |    MACOMB
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48044-2926
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103T00000X
-----------------------------------------------------
    Taxonomy Name        |    Psychologist
-----------------------------------------------------
    License Number       |    6301008858
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    103TC0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Psychologist
-----------------------------------------------------
    License Number       |    6301008868
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.