Organization
INFANT TODDLER SERVICES FUNCTIONALLY UNDERSTANDING NEEDS LLC
Active
Other names
ITS FUN
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA RAE VAUGHT PH.D. (OWNER)
(910) 471-9353
Entity
Organization
Contact information
Practice address
6728 CABLE CAR LN, WILMINGTON, NC 28403-3669
(910) 471-9353
Mailing address
6728 CABLE CAR LN, WILMINGTON, NC 28403-3669
(910) 471-9353
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2212
NC
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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