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NPI Code Detail

MEDICARE: DR. SHARON J HUGHEY PH.D.

MEDICARE: DR. SHARON J HUGHEY PH.D.
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
1103TC0700XClinical Psychologist02634MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1GH67OTHERMDBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1700090610
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHARON J HUGHEY PH.D.
Provider Business Mailing Address
First Line : 16 GREENMEADOW DR
Second Line : SUITE G106
City : TIMONIUM
State : MD
Zip : 21093-3200
Country : US
Telephone Number : 410-561-9584
Fax Number : 410-561-9587
Provider Business Practice Location Address
First Line : 16 GREENMEADOW DR
Second Line : SUITE G106
City : TIMONIUM
State : MD
Zip : 21093-3200
Country : US
Telephone Number : 410-561-9584
Fax Number : 410-561-9587
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2007
Last Update Date : 07/08/2007

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