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NPI Code Detail

MEDICARE: CASSIDY MORGAN VAUGHAN CF-SLP

MEDICARE: CASSIDY MORGAN VAUGHAN CF-SLP
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
1235Z00000XSpeech-Language Pathologist2204001217VA

General Provider Information

NPI Number : 1215772090
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSIDY MORGAN VAUGHAN CF-SLP
Provider Business Mailing Address
First Line : 9616 WESTON LN
Second Line :
City : HENRICO
State : VA
Zip : 23238-5580
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4823 S LABURNUM AVE STE C
Second Line :
City : HENRICO
State : VA
Zip : 23231-2713
Country : US
Telephone Number : 804-533-2622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2024
Last Update Date : 06/25/2024

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Directions to “ CASSIDY MORGAN VAUGHAN CF-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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