Individual
DR. VAUGHN A HARDESTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
32 PLEASANT ST, PORTLAND, ME 04101-3912
(207) 828-5309
Mailing address
32 PLEASANT ST, PORTLAND, ME 04101-3912
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS 204
ME
103TB0200X
Cognitive & Behavioral Psychologist
PS 204
ME
103TC0700X
Clinical Psychologist
PS 204
ME
103TC2200X
Clinical Child & Adolescent Psychologist
PS 204
ME
103TF0000X
Family Psychologist
PS 204
ME
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PS 204
ME
103TS0200X
School Psychologist
Primary
PS 204
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003499
BLUE CROSS BLUE SHIELD
—
01
—
2068373
CIGNA
—
01
—
7041539
AETNA
—
01
—
A014080
VALUE OPTIONS
—
Enumeration date
12/26/2006
Last updated
09/11/2025
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