Individual
DR. KENNETH HAROLD VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3 SOUTH MAIN STREET, SUITE #6, ALLENTOWN, NJ 08501
(609) 259-6200
(609) 259-6288
Mailing address
11 TIN HOUSE ROAD, MEDFORD, NJ 08055-9735
(609) 259-6200
(609) 259-6288
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00380100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232446000
MAGELLAN
—
01
—
342277
TRICARE
—
Enumeration date
11/01/2006
Last updated
07/05/2019
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