Provider Demographics
NPI:1053888685
Name:MCLAUGHLIN, SHELBY (BA)
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:SHELBY
Other - Middle Name:
Other - Last Name:ZIELES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:603 E WASHINGTON ST FL 6
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46204-2692
Mailing Address - Country:US
Mailing Address - Phone:317-474-2301
Mailing Address - Fax:317-634-3907
Practice Address - Street 1:603 E WASHINGTON ST FL 6
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46204-2692
Practice Address - Country:US
Practice Address - Phone:317-474-2301
Practice Address - Fax:317-634-3907
Is Sole Proprietor?:No
Enumeration Date:2018-11-01
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health