Individual
DR. MICHAEL ANTHONY O'LOUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
15 LAUREL DR, NEW HYDE PARK, NY 11040-2148
(516) 414-4438
(516) 775-6131
Mailing address
15 LAUREL DR, NEW HYDE PARK, NY 11040-2148
(516) 414-4438
(516) 775-6131
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
014848
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02228962
—
NY
Enumeration date
04/23/2007
Last updated
07/08/2007
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