Provider Demographics
NPI:1467989913
Name:HUGHES, LANE (MS, CCC/SLP)
Entity Type:Individual
Prefix:
First Name:LANE
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15326 CRUISER ST APT B
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78418-6843
Mailing Address - Country:US
Mailing Address - Phone:570-441-0799
Mailing Address - Fax:
Practice Address - Street 1:15326 CRUISER ST APT B
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78418-6843
Practice Address - Country:US
Practice Address - Phone:570-441-0799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111880235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist