MEDICARE: AMY ELIZABETH VAUGHN MA, 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	SZ5039	FL
2	235Z00000X	Speech-Language Pathologist	SA10968	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1780903781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY ELIZABETH VAUGHN MA, CCC-SLP

Provider Business Mailing Address
First Line	:	6024 SAND PINES ESTATES BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-7760
Country	:	US
Telephone Number	:	941-276-9240
Fax Number	:

Provider Business Practice Location Address
First Line	:	6024 SAND PINES ESTATES BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-7760
Country	:	US
Telephone Number	:	941-276-9240
Fax Number	:

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

Provider Enumeration Date	:	05/31/2010
Last Update Date	:	04/16/2025

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Directions to “ AMY ELIZABETH VAUGHN MA, CCC-SLP” Practice Location

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