Provider Demographics
NPI:1891275434
Name:HUGHES, KATHLEEN THERESE
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:THERESE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:IPSWICH
Mailing Address - State:MA
Mailing Address - Zip Code:01938-2320
Mailing Address - Country:US
Mailing Address - Phone:978-815-2189
Mailing Address - Fax:
Practice Address - Street 1:6 POPLAR ST
Practice Address - Street 2:
Practice Address - City:IPSWICH
Practice Address - State:MA
Practice Address - Zip Code:01938-2320
Practice Address - Country:US
Practice Address - Phone:978-815-2189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-14
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool