Organization
MARY AND ALEXANDER LAUGHLIN CHILDREN'S CENTER
Active
Parent organization
MARY & ALEXANDER LAUGHLIN CHILDREN'S CENTER
Other names
Laughlin Children's Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARY & ALEXANDER LAUGHLIN CHILDREN'S CENTER
Authorized official
MR. DOUGLAS T FLOREY (EXECUTIVE DIRECTOR)
(412) 741-4087
Entity
Organization
Contact information
Practice address
424 FREDERICK AVE, SEWICKLEY, PA 15143-1523
(412) 741-4087
(412) 741-6808
Mailing address
424 FREDERICK AVE, SEWICKLEY, PA 15143-1523
(412) 741-4087
(412) 741-6808
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015858230002
—
PA
01
—
351738000
MAGELLAN BEHAVIORAL HEALT
—
01
—
429437
BCBS - PREMIERE NETWORK
PA
Enumeration date
09/26/2005
Last updated
01/09/2014
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