Provider Demographics
NPI:1013939057
Name:HUGHES, DANITA LUMMUS (EDD)
Entity Type:Individual
Prefix:DR
First Name:DANITA
Middle Name:LUMMUS
Last Name:HUGHES
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:DR
Other - First Name:DANITA
Other - Middle Name:LUMMUS
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:EDD
Mailing Address - Street 1:1810 WARD DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-0560
Mailing Address - Country:US
Mailing Address - Phone:615-895-6942
Mailing Address - Fax:615-867-6314
Practice Address - Street 1:1810 WARD DR
Practice Address - Street 2:#103
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-0560
Practice Address - Country:US
Practice Address - Phone:615-895-6942
Practice Address - Fax:615-867-6314
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1481103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist