Individual
ERIKKA BURNELL VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 DOCK ST, YONKERS, NY 10701-2733
(914) 949-7680
Mailing address
95 GRANDVIEW AVE, GREAT NECK, NY 11020-1509
(516) 647-3295
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285628552
AGENCY
—
Enumeration date
06/15/2017
Last updated
06/15/2017
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