Individual
DR. JERRILYN FRASIER VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., L-SLP/A
Contact information
Practice address
1503 GOODWIN RD STE 205, RUSTON, LA 71270
(318) 251-1572
(318) 251-1572
Mailing address
1503 GOODWIN RD STE 205, RUSTON, LA 71270-2938
(318) 251-1572
(318) 251-1572
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
4487
LA
231HA2400X
Assistive Technology Practitioner Audiologist
4487
LA
231HA2500X
Assistive Technology Supplier Audiologist
4487
LA
235Z00000X
Speech-Language Pathologist
4487
LA
237600000X
Audiologist-Hearing Aid Fitter
Primary
4487
LA
Other
Enumeration date
03/25/2007
Last updated
01/19/2023
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