1639354947 NPI number — DR. FLORDELIZA BALITAAN MCLAUGHLIN PSYD.,LMFT

Table of content: DR. FLORDELIZA BALITAAN MCLAUGHLIN PSYD.,LMFT (NPI 1639354947)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639354947 NPI number — DR. FLORDELIZA BALITAAN MCLAUGHLIN PSYD.,LMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCLAUGHLIN
Provider First Name:
FLORDELIZA
Provider Middle Name:
BALITAAN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PSYD.,LMFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MCLAUGHLIN
Provider Other First Name:
LIZAH
Provider Other Middle Name:
B.
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PSYD.,LMFT
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1639354947
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/04/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1731 ADRIAN RD
Provider Second Line Business Mailing Address:
SUITE #2
Provider Business Mailing Address City Name:
BURLINGAME
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94010-2109
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
650-697-9760
Provider Business Mailing Address Fax Number:
650-692-1049

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1731 ADRIAN RD
Provider Second Line Business Practice Location Address:
SUITE #2
Provider Business Practice Location Address City Name:
BURLINGAME
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94010-2109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
650-697-9760
Provider Business Practice Location Address Fax Number:
650-692-1049
Provider Enumeration Date:
01/04/2008

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: 106H00000X , with the licence number:  MFC 35489 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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