Provider Demographics
NPI:1992306690
Name:LAUGHMAN, EILEEN KAY (PSYD)
Entity type:Individual
Prefix:DR
First Name:EILEEN
Middle Name:KAY
Last Name:LAUGHMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MISS
Other - First Name:EILEEN
Other - Middle Name:KAY
Other - Last Name:MOOREHOUSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24545 TOWN CENTER DR APT 5406
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-1397
Mailing Address - Country:US
Mailing Address - Phone:661-260-3097
Mailing Address - Fax:661-260-3097
Practice Address - Street 1:24545 TOWN CENTER DR APT 5406
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-1397
Practice Address - Country:US
Practice Address - Phone:661-260-3097
Practice Address - Fax:661-260-3097
Is Sole Proprietor?:No
Enumeration Date:2020-11-08
Last Update Date:2020-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017021480103T00000X
MNLP3793103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist