Healthcare Provider Details

I. General information

NPI: 1992974331
Provider Name (Legal Business Name): CATHERINE LAUGHLAN LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2008
Last Update Date: 02/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

254 FRANKLIN STREET LAKE SHORE BEHAVIORAL HEALTH
BUFFALO NY
14202
US

IV. Provider business mailing address

254 FRANKLIN STREET LAKE SHORE BEHAVIORAL HEALTH
BUFFALO NY
14202
US

V. Phone/Fax

Practice location:
  • Phone: 716-842-0440
  • Fax: 716-842-4069
Mailing address:
  • Phone: 716-842-0440
  • Fax: 716-842-4069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number002310
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: