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NPI Code Detail

MEDICARE: MARSHA VAUGHN

MEDICARE: MARSHA VAUGHN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorPC-0011062DE
2101YM0800XMental Health Counselor37PC00688300NJ

General Provider Information

NPI Number : 1043959190
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARSHA VAUGHN
Provider Business Mailing Address
First Line : 3 PLEASANT VIEW CT
Second Line :
City : MILLSBORO
State : DE
Zip : 19966-8711
Country : US
Telephone Number : 908-346-3500
Fax Number :
Provider Business Practice Location Address
First Line : 3 PLEASANT VIEW CT
Second Line :
City : MILLSBORO
State : DE
Zip : 19966-8711
Country : US
Telephone Number : 908-346-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2022
Last Update Date : 05/27/2022

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Directions to “ MARSHA VAUGHN ” Practice Location

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