Provider Demographics
NPI:1790014025
Name:HUGHES, MARY (CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 SCHROEDER CT
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31411-1326
Mailing Address - Country:US
Mailing Address - Phone:912-414-9538
Mailing Address - Fax:
Practice Address - Street 1:9 SCHROEDER CT
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31411-1326
Practice Address - Country:US
Practice Address - Phone:912-414-9538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-16
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP006964235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist