Organization
DOUGLAS B VAUGHAN PHD PC
Active
Organization
DOUGLAS B VAUGHAN PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS B. VAUGHAN PH.D. (PRESIDENT)
(816) 289-1777
Entity
Organization
Contact information
Practice address
600 SW JEFFERSON ST, SUITE 206, LEES SUMMIT, MO 64063-3988
(816) 554-7705
(816) 554-7706
Mailing address
1524 NE DEER CT, LEES SUMMIT, MO 64086-5966
(816) 289-1777
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PYR0374
MO
Other
Enumeration date
07/24/2007
Last updated
07/03/2008
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