Provider Demographics
NPI:1992850978
Name:MCLAUGHLIN, JAMES TRUETT (PHD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:TRUETT
Last Name:MCLAUGHLIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 8TH AVE # C6
Mailing Address - Street 2:BAYLOR ALL SAINTS MEDICAL CENTER
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-4110
Mailing Address - Country:US
Mailing Address - Phone:817-922-7246
Mailing Address - Fax:817-922-1268
Practice Address - Street 1:1400 8TH AVE # C6
Practice Address - Street 2:BAYLOR ALL SAINTS MEDICAL CENTER
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-4110
Practice Address - Country:US
Practice Address - Phone:817-922-7246
Practice Address - Fax:817-922-1268
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32801103T00000X, 103TC0700X, 103TC1900X, 103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Not Answered103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS68000092Medicare ID - Type Unspecified