Provider Demographics
NPI:1659906717
Name:HUGHES, CAITLIN ELIZABETH (MA)
Entity Type:Individual
Prefix:MS
First Name:CAITLIN
Middle Name:ELIZABETH
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 LINCOLN RD
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06470-2012
Mailing Address - Country:US
Mailing Address - Phone:908-303-2785
Mailing Address - Fax:
Practice Address - Street 1:125 MAIN ST N STE 2B
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:CT
Practice Address - Zip Code:06798-2953
Practice Address - Country:US
Practice Address - Phone:203-263-3175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-10
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4302101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional