Provider Demographics
NPI:1942736574
Name:MCLAUGHLIN, ASHLEY (MSED)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5973 WINCHESTER PL
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:IN
Mailing Address - Zip Code:46368-4915
Mailing Address - Country:US
Mailing Address - Phone:757-777-5288
Mailing Address - Fax:
Practice Address - Street 1:2001 CALUMET AVE
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-2781
Practice Address - Country:US
Practice Address - Phone:219-548-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-02
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health