Provider Demographics
NPI:1083253827
Name:HUGHES, MARY (MS CCC-SLP, HIS)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MS CCC-SLP, HIS
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:
Other - Last Name:DZIADUAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:143 GARDEN TER
Mailing Address - Street 2:
Mailing Address - City:NAZARETH
Mailing Address - State:PA
Mailing Address - Zip Code:18064-1710
Mailing Address - Country:US
Mailing Address - Phone:610-751-8829
Mailing Address - Fax:
Practice Address - Street 1:7599 BETH BATH PIKE
Practice Address - Street 2:
Practice Address - City:BATH
Practice Address - State:PA
Practice Address - Zip Code:18014-8968
Practice Address - Country:US
Practice Address - Phone:610-365-8989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-26
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist