MEDICARE: MISS ERIN ELISABETH HUGHES B.A.

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	2355S0801X	Speech-Language Assistant	SLPA8052	AZ

General Provider Information

NPI Number	:	1427302074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ERIN ELISABETH HUGHES B.A.

Provider Business Mailing Address
First Line	:	18137 W CANYON LN
Second Line	:
City	:	GOODYEAR
State	:	AZ
Zip	:	85338-5104
Country	:	US
Telephone Number	:	623-707-7199
Fax Number	:

Provider Business Practice Location Address
First Line	:	5220 N DYSART RD
Second Line	:	B 112
City	:	LITCHFIELD PARK
State	:	AZ
Zip	:	85340-3045
Country	:	US
Telephone Number	:	623-935-6040
Fax Number	:	623-935-6046

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

Provider Enumeration Date	:	11/05/2012
Last Update Date	:	11/05/2012

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