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NPI Code Detail

MEDICARE: MRS. MAYUMI SEMBRANO VAUGHN-PATTERSON M.A., CCC-SLP

MEDICARE: MRS. MAYUMI SEMBRANO VAUGHN-PATTERSON M.A., 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
1235Z00000XSpeech-Language PathologistSA18240FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528799178
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MAYUMI SEMBRANO VAUGHN-PATTERSON M.A., CCC-SLP
Provider Business Mailing Address
First Line : 110 CONASKONK CIR
Second Line :
City : ROYAL PALM BEACH
State : FL
Zip : 33411-8224
Country : US
Telephone Number : 561-319-4075
Fax Number :
Provider Business Practice Location Address
First Line : 16203 PANTHEON PASS
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33446-2316
Country : US
Telephone Number : 561-450-9484
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2022
Last Update Date : 06/23/2022

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