Individual
MICHAEL R LOUGHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1073 WOODHILL DR, GIBSONIA, PA 15044-9271
(724) 272-6031
Mailing address
1073 WOODHILL DR, GIBSONIA, PA 15044-9271
(724) 272-6031
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS007333L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50880
BCBS
PA
Enumeration date
09/12/2005
Last updated
07/08/2007
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