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NPI Code Detail

MEDICARE: GALE LUDWIG VAUGHAN MS, CCC/SLP

MEDICARE:   GALE LUDWIG VAUGHAN  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
1235Z00000XSpeech-Language Pathologist10362TX

General Provider Information

NPI Number : 1760984975
Entity Type Code : Individual
Provider Name (Legal Business Name) : GALE LUDWIG VAUGHAN MS, CCC/SLP
Provider Business Mailing Address
First Line : 100 N CENTRAL EXPY STE 900
Second Line :
City : RICHARDSON
State : TX
Zip : 75080-5326
Country : US
Telephone Number : 972-235-9155
Fax Number : 972-421-1833
Provider Business Practice Location Address
First Line : 100 N CENTRAL EXPY STE 900
Second Line :
City : RICHARDSON
State : TX
Zip : 75080-5326
Country : US
Telephone Number : 972-235-9155
Fax Number : 972-421-1833
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2018
Last Update Date : 03/03/2018

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Directions to “ GALE LUDWIG VAUGHAN MS, CCC/SLP” Practice Location

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