Individual
DR. SUSAN MARIE VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1825 E NORTHERN AVE, SUITE 215, PHOENIX, AZ 85020-3940
(602) 870-6965
(602) 870-8329
Mailing address
PO BOX 9126, PHOENIX, AZ 85068-9126
(602) 870-6965
(602) 870-8329
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3149
AZ
Other
Enumeration date
05/09/2006
Last updated
01/25/2012
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