Organization
VAUGHAN PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NADINE VAUGHAN (PSYCHOLOGIST)
(352) 457-5055
Entity
Organization
Contact information
Practice address
3212 SITE TO SEE, EUSTIS, FL 32726-2344
(352) 357-5055
Mailing address
PO BOX 1881, MOUNT DORA, FL 32756-1881
(352) 457-5055
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
PY6663
FL
Other
Enumeration date
02/19/2009
Last updated
03/31/2009
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