MEDICARE: CONSTANCE HYLTON MCLAUGHLIN PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	LBA031	MD

General Provider Information

NPI Number	:	1093017410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CONSTANCE HYLTON MCLAUGHLIN PHD

Provider Business Mailing Address
First Line	:	2036 E PRATT ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21231-1934
Country	:	US
Telephone Number	:	360-320-0610
Fax Number	:

Provider Business Practice Location Address
First Line	:	2036 E PRATT ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21231-1934
Country	:	US
Telephone Number	:	360-320-0610
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2010
Last Update Date	:	05/03/2017

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