Individual
DR. JENNIFER ANNE VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
13191 KELLAM CT APT 96, SAN DIEGO, CA 92130-1279
(415) 518-1888
Mailing address
13191 KELLAM CT APT 96, SAN DIEGO, CA 92130-1279
(415) 518-1888
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
32450
CA
Other
Enumeration date
03/12/2021
Last updated
03/09/2023
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