Healthcare Provider Details

I. General information

NPI: 1699085357
Provider Name (Legal Business Name): KIMBERLY MCLAUGHLIN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2010
Last Update Date: 10/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 FRANKLIN CORNER ROAD, SUITE 103
LAWRENCEVILLE NJ
08648
US

IV. Provider business mailing address

134 FRANKLIN CORNER ROAD, SUITE 103
LAWRENCEVILLE NJ
08648
US

V. Phone/Fax

Practice location:
  • Phone: 609-538-9300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37PC00412700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: