Provider Demographics
NPI:1033181136
Name:HUGHES, TERESA MEAD (PSYCHOLOGIST PHD)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:MEAD
Last Name:HUGHES
Suffix:
Gender:F
Credentials:PSYCHOLOGIST PHD
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:LEE
Other - Last Name:MEAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:8626 TESORO DR STE 490
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-6217
Mailing Address - Country:US
Mailing Address - Phone:210-202-0100
Mailing Address - Fax:210-579-9705
Practice Address - Street 1:8626 TESORO DR STE 490
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-6217
Practice Address - Country:US
Practice Address - Phone:210-202-0100
Practice Address - Fax:210-579-9705
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-02
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36950103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist