Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 4608 | MA |
Y | 103TC0700X | Clinical Psychologist | 4608 | MA |
N | 103G00000X | Clinical Psychologist | 4608 | MA |
N | 103TC0700X | Clinical Psychologist | 4608 | MA |
N | 103TF0000X | Family Psychologist | 4608 | MA |
N | 103TR0400X | Rehabilitation Psychologist | 4608 | MA |
NPI | 1215047428 |
---|---|
Provider Name | Dr. Sigmund Hough |
First Address | Marblehead, MA 01945 |
Second Address | Beverly, MA 01915-6144 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 16/12/2013 |