Individual
DR. LARRY D VAUGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5512 S LEWIS AVE, TULSA, OK 74105-7140
(918) 747-1600
(918) 749-2774
Mailing address
5512 S LEWIS AVE, TULSA, OK 74105-7140
(918) 747-1600
(918) 749-2774
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
441
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100838930A
—
OK
01
—
730703797008
BCBS
OK
01
—
731351277
HUMANA
OK
Enumeration date
11/16/2006
Last updated
07/08/2007
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