Provider Demographics
NPI:1942716188
Name:MCGLOUGHLIN, MARY (LPC)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:MCGLOUGHLIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1560 ELEPHANT RD
Mailing Address - Street 2:
Mailing Address - City:PERKASIE
Mailing Address - State:PA
Mailing Address - Zip Code:18944-3819
Mailing Address - Country:US
Mailing Address - Phone:848-205-1957
Mailing Address - Fax:
Practice Address - Street 1:4950 YORK RD
Practice Address - Street 2:BUILDING ONE, SUITE 2F
Practice Address - City:BUCKINGHAM
Practice Address - State:PA
Practice Address - Zip Code:18912-1891
Practice Address - Country:US
Practice Address - Phone:848-205-1957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-26
Last Update Date:2017-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
PAPC006488101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional