Kenneth Harold Vaughan in Medford - Psychologist

Kenneth Harold Vaughan - NPI 1609953447

Kenneth Harold Vaughan is a Psychologist in Medford, New Jersey. Kenneth Harold Vaughan practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Kenneth Harold Vaughan is 1609953447. The last update date is 2019-07-05.

Kenneth Harold Vaughan's current location address is 11 Tin House Road, Medford, New Jersey. You can contact this provider via phone number 6092596200 and fax number 6092596288. The mailing address for Kenneth Harold Vaughan is 11 Tin House Road, Medford, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Harold Vaughan
Address 11 Tin House Road, Medford, New Jersey
Phone Number 6092596200
Fax Number 6092596288
Sole Proprietor Y
Credentials PSYD

NPI Number Detail

NPI Number 1609953447
Provider Enumeration Date 2006-11-01
Last Updated Date 2019-07-05

Provider Mailing Address Detail

Address 11 Tin House Road
City Medford
State New Jersey (NJ)
Post Code 80559735
Phone Number 6092596200
Fax Number 6092596288

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 35SI00380100
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
232446000 MAGELLAN
342277 TRICARE

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FAQs about Kenneth Harold Vaughan

What is the Kenneth Harold Vaughan's unique identification number?

The Kenneth Harold Vaughan has been assigned the NPI (National Provider Identifier) Number 1609953447 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Kenneth Harold Vaughan's facilities are situated?

The facilities of Kenneth Harold Vaughan are physically located at the following address: 11 Tin House Road, Medford, NJ, 80559735.

What is the Kenneth Harold Vaughan's area of specialization and corresponding taxonomy classification?

The Kenneth Harold Vaughan'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 originally issue the 1609953447 to Kenneth Harold Vaughan?

The Centers for Medicare & Medicaid Services originally issued the 1609953447 to Kenneth Harold Vaughan on 2006-11-01.

As of what date was the information regarding Kenneth Harold Vaughan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kenneth Harold Vaughan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-07-05.

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