Provider Demographics
NPI:1619027695
Name:MCLAUGHLIN, DORCAS ELISABETH (PHD, APRN, BC)
Entity Type:Individual
Prefix:DR
First Name:DORCAS
Middle Name:ELISABETH
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:PHD, APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8420 DELMAR BLVD.
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63124-2109
Mailing Address - Country:US
Mailing Address - Phone:314-307-6648
Mailing Address - Fax:636-530-7552
Practice Address - Street 1:8420 DELMAR BLVD.
Practice Address - Street 2:SUITE 202
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63124-2109
Practice Address - Country:US
Practice Address - Phone:314-307-6648
Practice Address - Fax:636-530-7552
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO054789163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult