Provider Demographics
NPI:1700823259
Name:MCHUGH, EUGENE RICE (ED D CCCA)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:RICE
Last Name:MCHUGH
Suffix:
Gender:M
Credentials:ED D CCCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 WEST COLORADO AVE.
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80904
Mailing Address - Country:US
Mailing Address - Phone:719-520-1155
Mailing Address - Fax:719-520-0130
Practice Address - Street 1:1330 WEST COLORADO AVE
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904
Practice Address - Country:US
Practice Address - Phone:719-520-1155
Practice Address - Fax:719-520-0130
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO95231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO07090020Medicaid
CO07090020Medicaid