Provider Demographics
NPI:1063656973
Name:HUGHES, MIRIAM F (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MIRIAM
Middle Name:F
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 LEIGH CIR
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-7717
Mailing Address - Country:US
Mailing Address - Phone:501-282-0635
Mailing Address - Fax:
Practice Address - Street 1:314 LEIGH CIR
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-7717
Practice Address - Country:US
Practice Address - Phone:501-282-0635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-22
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1415235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR146504721Medicaid