Provider Demographics
NPI:1316149859
Name:MCLAUGHLIN, ANN MARIE (PHD)
Entity type:Individual
Prefix:DR
First Name:ANN MARIE
Middle Name:
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1204 CORNELL AVE
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-3220
Mailing Address - Country:US
Mailing Address - Phone:610-449-6087
Mailing Address - Fax:610-695-6319
Practice Address - Street 1:5100 STATE RD
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-4600
Practice Address - Country:US
Practice Address - Phone:610-449-6087
Practice Address - Fax:610-695-6319
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003931-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMC436449Medicare ID - Type UnspecifiedMEDICARE