Provider Demographics
NPI:1003135542
Name:HUGHES, E DELORES (MA)
Entity Type:Individual
Prefix:MS
First Name:E
Middle Name:DELORES
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 333
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31402-0333
Mailing Address - Country:US
Mailing Address - Phone:912-387-9023
Mailing Address - Fax:
Practice Address - Street 1:6400 WATERS AVENUE
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31409
Practice Address - Country:US
Practice Address - Phone:912-345-0987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-24
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional