Provider Demographics
NPI:1588892327
Name:MCGAUGHEY, LAURA MARCELA
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:MARCELA
Last Name:MCGAUGHEY
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 1:48 HERSCHEL ST
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01902-1209
Mailing Address - Country:US
Mailing Address - Phone:781-632-0236
Mailing Address - Fax:
Practice Address - Street 1:48 HERSCHEL ST
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01902-1209
Practice Address - Country:US
Practice Address - Phone:781-632-0236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-01
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health