Provider Demographics
NPI:1174879761
Name:HUGHES, MARIANNE P (MPS, ATR-BC,LCAT, LP)
Entity type:Individual
Prefix:
First Name:MARIANNE
Middle Name:P
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MPS, ATR-BC,LCAT, LP
Other - Prefix:
Other - First Name:MARIANNE
Other - Middle Name:P
Other - Last Name:JOINER-HUGHES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LIC PSYCHOANALYST
Mailing Address - Street 1:27 FOWLER ST
Mailing Address - Street 2:
Mailing Address - City:BEACON
Mailing Address - State:NY
Mailing Address - Zip Code:12508-3702
Mailing Address - Country:US
Mailing Address - Phone:917-204-3702
Mailing Address - Fax:
Practice Address - Street 1:41 UNION SQ W STE 1223
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3227
Practice Address - Country:US
Practice Address - Phone:917-204-3702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-01
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001381174400000X, 221700000X
101YM0800X
NY000945102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalystGroup - Single Specialty
No174400000XOther Service ProvidersSpecialist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist