Provider Demographics
NPI:1497937734
Name:HUGHEY, LEIA D (PHD)
Entity Type:Individual
Prefix:DR
First Name:LEIA
Middle Name:D
Last Name:HUGHEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:LEAH
Other - Middle Name:D
Other - Last Name:HUGHEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:230 N 3RD ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:HARRISBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97446-9679
Mailing Address - Country:US
Mailing Address - Phone:541-998-5660
Mailing Address - Fax:541-998-5678
Practice Address - Street 1:230 N 3RD ST
Practice Address - Street 2:SUITE 105
Practice Address - City:HARRISBURG
Practice Address - State:OR
Practice Address - Zip Code:97446-9679
Practice Address - Country:US
Practice Address - Phone:541-998-5660
Practice Address - Fax:541-998-5678
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-28
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR989103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR022659OtherDHS
OR022659OtherDHS