MEDICARE: DR. LAURIE A. HUGHES 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
1	103TC0700X	Clinical Psychologist	PSY 20350	CA

General Provider Information

NPI Number	:	1801086319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURIE A. HUGHES PH.D.

Provider Business Mailing Address
First Line	:	621 S VIRGIL AVE
Second Line	:	SUITE 300
City	:	LOS ANGELES
State	:	CA
Zip	:	90005-4000
Country	:	US
Telephone Number	:	213-368-5400
Fax Number	:	213-368-5454

Provider Business Practice Location Address
First Line	:	621 S VIRGIL AVE
Second Line	:	SUITE 300
City	:	LOS ANGELES
State	:	CA
Zip	:	90005-4000
Country	:	US
Telephone Number	:	213-368-5400
Fax Number	:	213-368-5454

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

Provider Enumeration Date	:	07/31/2007
Last Update Date	:	07/31/2007

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