Provider Demographics
NPI:1699554733
Name:MCGUIGAN, LAURA JANE (PSYD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:JANE
Last Name:MCGUIGAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:474 WINDMERE DR STE 301
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-7651
Mailing Address - Country:US
Mailing Address - Phone:814-366-5310
Mailing Address - Fax:814-366-5311
Practice Address - Street 1:474 WINDMERE DR STE 301
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-7651
Practice Address - Country:US
Practice Address - Phone:814-366-5310
Practice Address - Fax:814-366-5311
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-27
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS019996103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist