Individual
KIRKLAND C VAUGHANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1840 UNION BLVD, BAY SHORE, NY 11706-7932
(631) 647-7885
(631) 647-7885
Mailing address
66 LINCOLN AVE, WYANDANCH, NY 11798-4202
(631) 643-0615
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
010404-1
NY
Other
Enumeration date
12/12/2008
Last updated
12/12/2008
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