Provider Demographics
NPI:1801086319
Name:HUGHES, LAURIE A (PHD)
Entity type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:A
Last Name:HUGHES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 S VIRGIL AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90005-4000
Mailing Address - Country:US
Mailing Address - Phone:213-368-5400
Mailing Address - Fax:213-368-5454
Practice Address - Street 1:621 S VIRGIL AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90005-4000
Practice Address - Country:US
Practice Address - Phone:213-368-5400
Practice Address - Fax:213-368-5454
Is Sole Proprietor?:No
Enumeration Date:2007-07-31
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 20350103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical