Provider Demographics
NPI:1538234869
Name:HUGHES, DEBORAH LYNN (PSY D)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:LYNN
Last Name:HUGHES
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95-154 KUAHELANI AVE
Mailing Address - Street 2:APT. 245
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-1534
Mailing Address - Country:US
Mailing Address - Phone:608-469-5051
Mailing Address - Fax:
Practice Address - Street 1:932 WARD AVE
Practice Address - Street 2:6TH FLOOR
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2131
Practice Address - Country:US
Practice Address - Phone:808-535-5555
Practice Address - Fax:808-535-5556
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1153103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical