1598942518 NPI number — DR. JULIA GATHRIGHT MCLAUGHLIN PHD

Table of content: DR. JULIA GATHRIGHT MCLAUGHLIN PHD (NPI 1598942518)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598942518 NPI number — DR. JULIA GATHRIGHT MCLAUGHLIN PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCLAUGHLIN
Provider First Name:
JULIA
Provider Middle Name:
GATHRIGHT
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DOUGHERTY
Provider Other First Name:
JULIA
Provider Other Middle Name:
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHD
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1598942518
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/25/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8203 FREDONIA ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RICHMOND
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23227
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
804-928-5117
Provider Business Mailing Address Fax Number:
804-928-5117

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8203 FREDONIA ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RICHMOND
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23227
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-928-5117
Provider Business Practice Location Address Fax Number:
804-928-5117
Provider Enumeration Date:
01/22/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  0810000826 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0810000826 . This is a "LIC. 0810000826" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




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