Provider Demographics
NPI:1447604715
Name:HUGHES, JAMIE RAE (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:RAE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4374 DOGWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-2539
Mailing Address - Country:US
Mailing Address - Phone:216-262-8163
Mailing Address - Fax:
Practice Address - Street 1:4374 DOGWOOD TRL
Practice Address - Street 2:
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-2539
Practice Address - Country:US
Practice Address - Phone:216-262-8163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-22
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH8173235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist