Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | 370989-2501 | UT |
Y | 103G00000X | Clinical Psychologist | 370989-2501 | UT |
Y | 103TC0700X | Clinical Psychologist | 370989-2501 | UT |
N | 103TC1900X | Counseling Psychologist | 370989-2501 | UT |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 370989-2501 | UT |
N | 103TE1100X | Exercise & Sports Psychologist | 370989-2501 | UT |
N | 103TF0000X | Family Psychologist | 370989-2501 | UT |
N | 103TH0004X | Health Psychologist | 370989-2501 | UT |
N | 103TM1800X | Intellectual & Developmental Disabilities | 370989-2501 | UT |
N | 103TP2701X | Group Psychotherapist | 370989-2501 | UT |
N | 103TS0200X | School Psychologist | 370989-2501 | UT |
NPI | 1083846810 |
---|---|
Provider Name | Dr. Chris Robert Hughes |
First Address | Alpine, UT 84004-1775 |
Second Address | Alpine, UT 84004-1775 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2009 |
Last Update Date | 12/08/2009 |