MEDICARE: DR. LAURA W HUGHES PSYD

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
1	103TB0200X	Cognitive & Behavioral Psychologist	468	SD
2	103TC0700X	Clinical Psychologist	468	SD

General Provider Information

NPI Number	:	1316915697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURA W HUGHES PSYD

Provider Business Mailing Address
First Line	:	2525 W MAIN ST STE 308
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57702-2443
Country	:	US
Telephone Number	:	605-858-9989
Fax Number	:	605-309-7929

Provider Business Practice Location Address
First Line	:	2525 W MAIN ST STE 308
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57702-2443
Country	:	US
Telephone Number	:	605-858-9989
Fax Number	:	605-309-7929

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	10/09/2025

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