DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MS. ANN MARIE VAUGHN

MEDICARE:  MS. ANN MARIE  VAUGHN
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
1225400000XRehabilitation Practitioner
2106H00000XMarriage & Family Therapist108378CA

General Provider Information

NPI Number : 1942358304
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANN MARIE VAUGHN
Provider Business Mailing Address
First Line : 1794 TONINI DR APT 58
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93405-7457
Country : US
Telephone Number : 559-473-6880
Fax Number :
Provider Business Practice Location Address
First Line : 2180 JOHNSON AVE
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-4558
Country : US
Telephone Number : 805-781-4275
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 09/12/2024

Similar Medicare Providers

1982645180 — KATHRYN LORRAINE DOLEZAL FNP
Practice Location Address:
2180 JOHNSON AVE
SAN LUIS OBISPO, CA
93401-4558
Practice Phone: 805-788-8294
Practice Fax: 805-203-5383
1063370799 — ETHAN ALVA SHEPPARD
Practice Location Address:
2180 JOHNSON AVE
SAN LUIS OBISPO, CA
93401-4558
Practice Phone: 805-781-4768
Practice Fax:
1891284915 — JAIRO DIAZ
Practice Location Address:
2180 JOHNSON AVE
SAN LUIS OBISPO, CA
93401-4558
Practice Phone: 805-458-5755
Practice Fax:
1922332055 — RACHEL DIANE MCSPADDEN TARVER MS, LMFT, RPT-S
Practice Location Address:
2180 JOHNSON AVE
SAN LUIS OBISPO, CA
93401-4558
Practice Phone: 805-779-0571
Practice Fax:
1003980251 — KONIKA ROSENBAUM MCPHERSON MFTI
Practice Location Address:
2180 JOHNSON AVE
SAN LUIS OBISPO, CA
93401-4558
Practice Phone: 805-781-4865
Practice Fax:
1689727828 — MS. LESLEY AXTELL
Practice Location Address:
2180 JOHNSON AVE
SAN LUIS OBISPO, CA
93401-4558
Practice Phone: 805-781-4715
Practice Fax:

Directions to “ MS. ANN MARIE VAUGHN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.