| Doctor Name: | MRS. PAMELA MARIE VAUGHAN |
| NPI Number: | 1013160159 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LLP |
| License Number: | 6301011744 |
| Business Practice Address: | 700 S Main St Ste 208 Lapeer, MI - 484463077 |
| Business Phone Number: | 8106648060 |
| Business Fax Number: | |
| Mailing Address: | 421 Wimbleton Dr, BIRMINGHAM |
| State: | MI |
| Postal Code: | 480097600 |
| Phone Number: | 2487521275 |
| Fax Number: | |
| NPI Enumeration Date: | 11/03/2008 |
| NPI Last Update Date: | 11/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6301011744 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |