Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 05862 | MD |
N | 103TC0700X | Clinical Psychologist | 05862 | MD |
Y | 103G00000X | Clinical Psychologist | 05862 | MD |
Y | 103TC0700X | Clinical Psychologist | 05862 | MD |
N | 103TR0400X | Rehabilitation Psychologist | 05862 | MD |
NPI | 1568879807 |
---|---|
Provider Name | Abbey Jean Hughes |
First Address | Baltimore, MD 21287 |
Second Address | Baltimore, MD 21287 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2014 |
Last Update Date | 10/06/2019 |