Provider Demographics
NPI:1184828337
Name:HUGHSON, HOWARD WILLIAM (PHD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:WILLIAM
Last Name:HUGHSON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 SUTTON PLACE SOUTH
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022
Mailing Address - Country:US
Mailing Address - Phone:212-759-6644
Mailing Address - Fax:212-828-6145
Practice Address - Street 1:55 SHELBOURNE DRIVE
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:CT
Practice Address - Zip Code:06756
Practice Address - Country:US
Practice Address - Phone:860-618-3406
Practice Address - Fax:212-828-6145
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0089451103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist