Provider Demographics
NPI:1740274794
Name:LAUGHLIN, LINDA RACHEL (PHD)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:RACHEL
Last Name:LAUGHLIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 E 94TH ST
Mailing Address - Street 2:APT. #5C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-2510
Mailing Address - Country:US
Mailing Address - Phone:212-426-6573
Mailing Address - Fax:212-426-6573
Practice Address - Street 1:17 E 96TH ST
Practice Address - Street 2:SUITE #1B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-0783
Practice Address - Country:US
Practice Address - Phone:212-426-6573
Practice Address - Fax:212-426-6573
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012041174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist