Provider Demographics
NPI:1659034056
Name:MCLAUGHLIN, ELLEN (LCGC)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:LCGC
Other - Prefix:
Other - First Name:ELLEN
Other - Middle Name:
Other - Last Name:BRUDI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCGC
Mailing Address - Street 1:323 LADERA ST # 2
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-4580
Mailing Address - Country:US
Mailing Address - Phone:360-430-5581
Mailing Address - Fax:
Practice Address - Street 1:540 W PUEBLO ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-4230
Practice Address - Country:US
Practice Address - Phone:805-879-0670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-21
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGC001489170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS