Provider Demographics
NPI:1972639052
Name:MCLAUGHLIN, DIANA JEAN
Entity Type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:JEAN
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:DIANA
Other - Middle Name:JEAN
Other - Last Name:ATTERATTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA,LMHC
Mailing Address - Street 1:55 WALLACE AVE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-1135
Mailing Address - Country:US
Mailing Address - Phone:508-832-5730
Mailing Address - Fax:
Practice Address - Street 1:286 LINCOLN ST # 291
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2106
Practice Address - Country:US
Practice Address - Phone:508-753-2967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5686101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health