Provider Demographics
NPI:1447327812
Name:HUGHSON, PAULA
Entity type:Individual
Prefix:DR
First Name:PAULA
Middle Name:
Last Name:HUGHSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:619 WELLESLEY DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUREQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106
Mailing Address - Country:US
Mailing Address - Phone:505-268-0201
Mailing Address - Fax:
Practice Address - Street 1:3420 CONSTITUTION NE
Practice Address - Street 2:SUITE B
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106
Practice Address - Country:US
Practice Address - Phone:505-268-0201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM85-2102084P0800X
NY1432062084P0800X
TXG43102084P0800X
SC86562084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry