Provider Demographics
NPI:1881633881
Name:HUGHES-BELFORD, LINDA J (DO)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:J
Last Name:HUGHES-BELFORD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4411 N NEWSTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63115-2534
Mailing Address - Country:US
Mailing Address - Phone:314-531-1770
Mailing Address - Fax:314-381-6796
Practice Address - Street 1:4411 N NEWSTEAD AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63115-2534
Practice Address - Country:US
Practice Address - Phone:314-531-1770
Practice Address - Fax:314-381-6796
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20130064652084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI43530500Medicaid