MEDICARE: LINDSAY VAUGHN MS, CCC-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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1265814644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY VAUGHN MS, CCC-SLP

Provider Business Mailing Address
First Line	:	3959 MIRA LINDA PT
Second Line	:	APT. 1534
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-6907
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8540 SCARBOROUGH DR
Second Line	:	SUITE 300
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-7502
Country	:	US
Telephone Number	:	719-597-0822
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2015
Last Update Date	:	06/23/2015

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