Vaughn Robert Jefferson in Shoreview - Psychologist
Vaughn Robert Jefferson - NPI 1427081413
Vaughn Robert Jefferson is a Psychologist in Shoreview, Minnesota. Vaughn Robert Jefferson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Vaughn Robert Jefferson is 1427081413. The last update date is 2010-03-16.
Vaughn Robert Jefferson's current location address is 1030 West County Road E, Shoreview, Minnesota. You can contact this provider via phone number 6514831333 and fax number 6517893088. The mailing address for Vaughn Robert Jefferson is 1030 West County Road E, Shoreview, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vaughn Robert Jefferson |
|---|---|
| Address | 1030 West County Road E, Shoreview, Minnesota |
| Phone Number | 6514831333 |
| Fax Number | 6517893088 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1427081413 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2010-03-16 |
Provider Mailing Address Detail
| Address | 1030 West County Road E |
|---|---|
| City | Shoreview |
| State | Minnesota (MN) |
| Post Code | 55126 |
| Phone Number | 6514831333 |
| Fax Number | 6517893088 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP1666 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 688750300 | MN | -- |
Post Comment/ Review Below
What is the Vaughn Robert Jefferson's unique identification number?
The Vaughn Robert Jefferson has been assigned the NPI (National Provider Identifier) Number 1427081413 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Vaughn Robert Jefferson is physically located?
The Vaughn Robert Jefferson is situated at the following address: 1030 West County Road E, Shoreview, MN 55126.
What is the Vaughn Robert Jefferson's area of specialization and corresponding taxonomy classification?
The Vaughn Robert Jefferson's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1427081413 to Vaughn Robert Jefferson?
The Centers for Medicare & Medicaid Services assigned the 1427081413 to Vaughn Robert Jefferson on 2006-07-10.
As of what date were the details pertaining to Vaughn Robert Jefferson last refreshed?
The information related to the Vaughn Robert Jefferson, including its address, specialty, and other relevant details, was last updated on 2010-03-16.