Provider Demographics
NPI:1093017410
Name:MCLAUGHLIN, CONSTANCE HYLTON (PHD)
Entity Type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:HYLTON
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 1:2036 E PRATT ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231-1934
Mailing Address - Country:US
Mailing Address - Phone:360-320-0610
Mailing Address - Fax:
Practice Address - Street 1:2036 E PRATT ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21231-1934
Practice Address - Country:US
Practice Address - Phone:360-320-0610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-18
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLBA031103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst