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Individual

REBECCA LYNN VAUGHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
37 LINCOLN ST STE 1B, ESSEX JUNCTION, VT 05452-3261
(802) 316-8622
Mailing address
5103 GLEN HEATHER DR, ROANOKE, VA 24018-2230
(440) 915-8321

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
026084
NY
235Z00000X
Speech-Language Pathologist
144.0134473TELE
VT
235Z00000X
Speech-Language Pathologist
Primary
144.0134488
VT
235Z00000X
Speech-Language Pathologist
2202009142
VA

Other

Enumeration date
08/06/2015
Last updated
06/30/2022
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