Individual
MS. CAROLYN KAY VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
425 SYCAMORE AVE, MILL VALLEY, CA 94941-2231
(415) 389-7711
(415) 389-7780
Mailing address
PO BOX 151717, SAN RAFAEL, CA 94915-1717
(415) 457-9754
(415) 482-8148
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY24951
CA
Other
Enumeration date
09/07/2010
Last updated
08/01/2012
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