Vaughn R Jefferson Psyd Mdiv Lp Llc

NPI 1801036272 - Psychologist - 103TC0700X

NPI Details
NPI 1801036272
Enumeration Date 02/25/2009
Last Updated 11/06/2014
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name VAUGHN ROBERT VAUGHN
Position PRESIDENT
Phone (651) 483-1333
Fax (651) 789-3088
Practice Location
1030 WEST COUNTY ROAD E
STE 260
SHOREVIEW MN, 55126, US
Phone (651) 483-1333
Fax (651) 789-3088
Business Location
1030 WEST COUNTY ROAD E
STE 260
SHOREVIEW MN, 55126, US
Phone (651) 483-1333
Fax (651) 789-3088
Toxanomy
Taxonomy Code 103TC0700X
License State Minnesota
License Number LP 1666
Remove 1801036272 NPI Number
 

According to our database, Vaughn R Jefferson Psyd Mdiv Lp Llc NPI is 1801036272, taxonomy code is 103TC0700X and license number is LP 1666, license state is located at Minnesota. Vaughn R Jefferson Psyd Mdiv Lp Llc physically located at 1030 West County Road E, Shoreview MN, 55126. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1801036272 NPI number is provided on an as is basis without warranty of any kind. 1801036272 is maintained by the National Plan & Provider Enumeration System. The contents of Vaughn R Jefferson Psyd Mdiv Lp Llc are for informational purposes only.