Provider Demographics
NPI:1447501895
Name:HUGHES, KRISTEN G (MS CCC SLP)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:G
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 HALE ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03867-1811
Mailing Address - Country:US
Mailing Address - Phone:603-312-5513
Mailing Address - Fax:
Practice Address - Street 1:12 HALE ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867-1811
Practice Address - Country:US
Practice Address - Phone:603-312-5513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-25
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1194235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist