Provider Demographics
NPI:1700090610
Name:HUGHEY, SHARON J (PHD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:J
Last Name:HUGHEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 GREENMEADOW DR
Mailing Address - Street 2:SUITE G106
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-3200
Mailing Address - Country:US
Mailing Address - Phone:410-561-9584
Mailing Address - Fax:410-561-9587
Practice Address - Street 1:16 GREENMEADOW DR
Practice Address - Street 2:SUITE G106
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-3200
Practice Address - Country:US
Practice Address - Phone:410-561-9584
Practice Address - Fax:410-561-9587
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02634103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDGH67OtherBLUE CROSS BLUE SHIELD