Provider Demographics
NPI:1245852599
Name:MCGLYNN, MAUREEN BRIDGET (LMFT)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:BRIDGET
Last Name:MCGLYNN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 41682
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90853-1682
Mailing Address - Country:US
Mailing Address - Phone:323-697-3537
Mailing Address - Fax:
Practice Address - Street 1:235 E BROADWAY STE 960
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-7802
Practice Address - Country:US
Practice Address - Phone:323-697-3537
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-09
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA115802106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist