Provider Demographics
NPI:1033289301
Name:HUGHES, BETH W (LMFT)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:W
Last Name:HUGHES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3320 OLD MILLBROOK CIR
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84115-4974
Mailing Address - Country:US
Mailing Address - Phone:801-266-7435
Mailing Address - Fax:801-266-7436
Practice Address - Street 1:3320 OLD MILLBROOK CIR
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84115-4974
Practice Address - Country:US
Practice Address - Phone:801-266-7435
Practice Address - Fax:801-266-7436
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT114342-3902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT$$$$$$$$$05001OtherBCBS