Provider Demographics
NPI:1689223927
Name:MCLAUGHLIN, JASON ROBERT (LPC)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:ROBERT
Last Name:MCLAUGHLIN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 S PINE ST
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-4691
Mailing Address - Country:US
Mailing Address - Phone:215-206-6171
Mailing Address - Fax:
Practice Address - Street 1:20 S PINE ST
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-4691
Practice Address - Country:US
Practice Address - Phone:215-206-6171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-09
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC010655101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional