Individual
MRS. JULIE VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1102 ROSE HILL DR, CHARLOTTESVILLE, VA 22903-5128
(434) 979-8628
(434) 979-8536
Mailing address
413 7TH ST, SHENANDOAH, VA 22849-1420
(540) 652-9995
(434) 979-8536
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005099
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7916882
AETNA PROVIDER NUMBER
VA
Enumeration date
03/02/2007
Last updated
07/08/2007
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