Provider Demographics
NPI:1235138512
Name:HUGHES, KATHLEEN DOYLE (PH D)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:DOYLE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:MISS
Other - First Name:KATHLEEN
Other - Middle Name:ELEANOR
Other - Last Name:DOYLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:139 HAZARD AVE
Mailing Address - Street 2:STE 8
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082-4585
Mailing Address - Country:US
Mailing Address - Phone:860-749-2830
Mailing Address - Fax:
Practice Address - Street 1:139 HAZARD AVE
Practice Address - Street 2:STE 8
Practice Address - City:ENFIELD
Practice Address - State:CT
Practice Address - Zip Code:06082-4585
Practice Address - Country:US
Practice Address - Phone:860-749-2830
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT007071103T00000X
MA741103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist