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NPI Code Detail

MEDICARE: ELIZABETH HUGHES

MEDICARE: ELIZABETH HUGHES
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
1101YM0800XMental Health Counselor
2103TC2200XClinical Child & Adolescent Psychologist
3103TM1800XIntellectual & Developmental Disabilities Psychologist
4103K00000XBehavior Analyst

General Provider Information

NPI Number : 1376669747
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH HUGHES
Provider Business Mailing Address
First Line : 9650 ZELZAH AVE
Second Line :
City : NORTHRIDGE
State : CA
Zip : 91325-2003
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14148 MAGNOLIA BLVD STE 103
Second Line :
City : SHERMAN OAKS
State : CA
Zip : 91423-6414
Country : US
Telephone Number : 818-993-9311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 06/22/2021

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