Individual
DR. DONNA RAE VAUGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2516 INDEPENDENCE BLVD, SUITE 204, WILMINGTON, NC 28412-7161
(910) 796-9969
(910) 796-0270
Mailing address
6728 CABLE CAR LN, WILMINGTON, NC 28403-3669
(910) 256-9353
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2212
NC
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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