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NPI Code Detail

MEDICARE: DR. LINDA JUDITH VAUGHAN PH.D.

MEDICARE:  DR. LINDA JUDITH VAUGHAN  PH.D.
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 CounselorCC2086ME

General Provider Information

NPI Number : 1679549596
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDA JUDITH VAUGHAN PH.D.
Provider Business Mailing Address
First Line : 1 LEXINGTON LN
Second Line :
City : ROCKPORT
State : ME
Zip : 04856-4027
Country : US
Telephone Number : 207-593-9114
Fax Number : 207-593-9034
Provider Business Practice Location Address
First Line : 27 WASHINGTON ST
Second Line :
City : CAMDEN
State : ME
Zip : 04843-1710
Country : US
Telephone Number : 207-236-0510
Fax Number : 207-593-9034
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 07/08/2007

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Directions to “ DR. LINDA JUDITH VAUGHAN PH.D.” Practice Location

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