Provider Demographics
NPI:1194437608
Name:OLOUGHLIN, KATELYN (CLC)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:
Last Name:OLOUGHLIN
Suffix:
Gender:F
Credentials:CLC
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:OLOUGHLIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CLC
Mailing Address - Street 1:27 FOXGLOVE CT
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2644
Mailing Address - Country:US
Mailing Address - Phone:267-250-8770
Mailing Address - Fax:
Practice Address - Street 1:27 FOXGLOVE CT
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2644
Practice Address - Country:US
Practice Address - Phone:267-250-8770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-15
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
345660174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN