Individual
GARY L VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
141 W 22ND ST, ANDERSON, IN 46016-4304
(765) 641-7100
Mailing address
141 W 22ND ST, ANDERSON, IN 46016-4304
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040589
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200034040
—
IN
Enumeration date
07/20/2006
Last updated
05/23/2022
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