Individual
MRS. PAMELA MARIE VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
36400 WOODWARD AVE STE 125, BLOOMFIELD HILLS, MI 48304
(248) 752-1275
Mailing address
421 WIMBLETON DR, BIRMINGHAM, MI 48009-7600
(248) 752-1275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6301011744
MI
103T00000X
Psychologist
6301011744
MI
Other
Enumeration date
11/03/2008
Last updated
07/31/2018
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