Provider Demographics
NPI:1902544000
Name:HUGHES, SHERI ANN (MA-CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:SHERI
Middle Name:ANN
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MA-CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12616 SPINDLETOP RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-3741
Mailing Address - Country:US
Mailing Address - Phone:858-395-1620
Mailing Address - Fax:
Practice Address - Street 1:12616 SPINDLETOP RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92129-3741
Practice Address - Country:US
Practice Address - Phone:858-395-1620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-27
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP11894235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist