Individual
DR. DEBORAH KIPPS-VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
3401 OLD HALIFAX RD, SUITE F, SOUTH BOSTON, VA 24592-4951
(434) 575-3017
(434) 575-3023
Mailing address
1147 E HYCO RD, SOUTH BOSTON, VA 24592-6539
(434) 575-3017
(434) 575-3023
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002752
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7703627
—
VA
Enumeration date
11/20/2006
Last updated
07/08/2007
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