Provider Demographics
NPI:1235396102
Name:HUGHES, JUDY PAYNE (LPC ; RN)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:PAYNE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:LPC ; RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2542 ROUTE 66
Mailing Address - Street 2:#303
Mailing Address - City:CHATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12037-1815
Mailing Address - Country:US
Mailing Address - Phone:703-505-3721
Mailing Address - Fax:
Practice Address - Street 1:2542 ROUTE 66
Practice Address - Street 2:#303
Practice Address - City:CHATHAM
Practice Address - State:NY
Practice Address - Zip Code:12037-1815
Practice Address - Country:US
Practice Address - Phone:703-505-3721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-19
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701001714101YP2500X
NY662477163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional