Advancing Developmental Skills Pllc

NPI 1164705554 - Psychologist - 103TB0200X

NPI Details
NPI 1164705554
Enumeration Date 09/22/2011
Last Updated 09/22/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name KATHERINE VAUGHAN KATHERINE
Position PH.D/OWNER
Phone (901) 218-5107
Fax (901) 756-8541
Practice Location
371 ALEXANDER ST
MEMPHIS TN, 38111-4450, US
Phone (901) 218-5107
Fax (901) 756-8541
Business Location
371 ALEXANDER ST
MEMPHIS TN, 38111-4450, US
Phone (901) 218-5107
Fax (901) 756-8541
Toxanomy
Taxonomy Code 103TB0200X
License State Tennessee
License Number 2797
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According to our database, Advancing Developmental Skills Pllc NPI is 1164705554, taxonomy code is 103TB0200X and license number is 2797, license state is located at Tennessee. Advancing Developmental Skills Pllc physically located at 371 Alexander St, Memphis TN, 38111-4450. NPI Number 1033115704 has the healthcare provider type.

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1164705554 NPI number is provided on an as is basis without warranty of any kind. 1164705554 is maintained by the National Plan & Provider Enumeration System. The contents of Advancing Developmental Skills Pllc are for informational purposes only.