Douglas B Vaughan Phd Pc | |
600 Sw Jefferson St Suite 206 Lees Summit MO 64063-3988 | |
(816) 554-7705 | |
(816) 554-7706 |
Full Name | Douglas B Vaughan Phd Pc |
---|---|
Speciality | Psychologist - Clinical |
Location | 600 Sw Jefferson St, Lees Summit, Missouri |
Authorized Official Name and Position | Douglas B. Vaughan (PRESIDENT) |
Authorized Official Contact | 8162891777 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Douglas B Vaughan Phd Pc 1524 Ne Deer Ct Lees Summit MO 64086-5966 Ph: (816) 289-1777 | Douglas B Vaughan Phd Pc 600 Sw Jefferson St Suite 206 Lees Summit MO 64063-3988 Ph: (816) 554-7705 |
NPI Number | 1881894145 |
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Provider Enumeration Date | 07/24/2007 |
Last Update Date | 07/03/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881894145 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PYR0374 (Missouri) | Primary |
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