Provider Demographics
NPI:1275575631
Name:LAUGHNA, SHAUNA M (PHD, ABPP)
Entity Type:Individual
Prefix:DR
First Name:SHAUNA
Middle Name:M
Last Name:LAUGHNA
Suffix:
Gender:F
Credentials:PHD, ABPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 S MAITLAND AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-5677
Mailing Address - Country:US
Mailing Address - Phone:407-695-7446
Mailing Address - Fax:407-699-7446
Practice Address - Street 1:235 S MAITLAND AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-5677
Practice Address - Country:US
Practice Address - Phone:407-695-7446
Practice Address - Fax:407-699-7446
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2016-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 000 3740103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL73366OtherBLUE CROSS BLUE SHIELD
FL73366OtherBLUE CROSS BLUE SHIELD