Provider Demographics
NPI:1427186147
Name:O'LAUGHLIN, PATRICIA ANGELA (MFT, ATR)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ANGELA
Last Name:O'LAUGHLIN
Suffix:
Gender:F
Credentials:MFT, ATR
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:ANGELA
Other - Last Name:MARZEC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1741 SILVER LAKE BLVD STE 2B
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-1256
Mailing Address - Country:US
Mailing Address - Phone:323-761-2221
Mailing Address - Fax:
Practice Address - Street 1:1741 SILVER LAKE BLVD STE 2B
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-1256
Practice Address - Country:US
Practice Address - Phone:323-761-2221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 45782106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist