| Doctor Name: | DR. ANDREW EDWARD VAUGHAN |
| NPI Number: | 1003962267 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 012962 |
| Business Practice Address: | 3 Greenhills Rd Huntington Station, NY - 117463905 |
| Business Phone Number: | 6313511111 |
| Business Fax Number: | |
| Mailing Address: | 45 Idle Day Dr, CENTERPORT |
| State: | NY |
| Postal Code: | 117211109 |
| Phone Number: | 6313511111 |
| Fax Number: | |
| NPI Enumeration Date: | 01/28/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | 012962 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |