Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | PS015685 | PA |
N | 103TC0700X | Clinical Psychologist | PS015685 | PA |
N | 102L00000X | Psychologist | PS015685 | PA |
N | 103T00000X | Psychologist | PS015685 | PA |
N | 103TA0700X | Adult Development & Aging Psychologist | PS015685 | PA |
Y | 103G00000X | Clinical Psychologist | PS015685 | PA |
Y | 103TC0700X | Clinical Psychologist | PS015685 | PA |
N | 103TR0400X | Rehabilitation Psychologist | PS015685 | PA |
NPI | 1568426286 |
---|---|
Provider Name | Dr. Marla Shawaryn Mclaughlin |
First Address | Lansdowne, PA 19050-1810 |
Second Address | Philadelphia, PA 19104-4551 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2006 |
Last Update Date | 09/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q24651 | (02) | PA |