Provider Demographics
NPI:1053979898
Name:MCLAUGHLIN, REBECCA J
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:J
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 SYCAMORE DR NW
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-5338
Mailing Address - Country:US
Mailing Address - Phone:330-244-8567
Mailing Address - Fax:330-244-8567
Practice Address - Street 1:213 SYCAMORE DR NW
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-5338
Practice Address - Country:US
Practice Address - Phone:330-244-8567
Practice Address - Fax:330-244-8567
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-05
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker