Individual
DR. STACEY JOHNSON MCLAUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PY 7039
Contact information
Practice address
4404 S FLORIDA AVE STE 3, LAKELAND, FL 33813-2183
(863) 709-8110
(863) 709-8118
Mailing address
4404 S FLORIDA AVE STE 3, LAKELAND, FL 33813-2183
(863) 709-8110
(863) 709-8118
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY 6743
FL
103TS0200X
School Psychologist
PY 6743
FL
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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