Provider Demographics
NPI:1073218947
Name:HUYGHUE, LUZ M
Entity Type:Individual
Prefix:
First Name:LUZ
Middle Name:M
Last Name:HUYGHUE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 DIX AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051-1611
Mailing Address - Country:US
Mailing Address - Phone:646-281-5241
Mailing Address - Fax:
Practice Address - Street 1:25 DIX AVE
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06051-1611
Practice Address - Country:US
Practice Address - Phone:646-281-5241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician