Provider Demographics
NPI:1578598926
Name:MCLAUGHLIN, JOHN L (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:L
Last Name:MCLAUGHLIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 NATIONAL DR
Mailing Address - Street 2:SUITE 220
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866
Mailing Address - Country:US
Mailing Address - Phone:301-476-9390
Mailing Address - Fax:301-476-9391
Practice Address - Street 1:3901 NATIONAL DR
Practice Address - Street 2:SUITE 220
Practice Address - City:BURTONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20866
Practice Address - Country:US
Practice Address - Phone:301-476-9390
Practice Address - Fax:301-476-9391
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1126103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
177245Medicare ID - Type Unspecified
R23340Medicare UPIN