Doctor Name: | MS. EMILY LAREE VAUGHN |
NPI Number: | 1013285584 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BS |
License Number: | |
Business Practice Address: | 351 N. Air Depot Suite S Midwest City, OK - 73110 |
Business Phone Number: | 4056106540 |
Business Fax Number: | |
Mailing Address: | 9500 Water Crest Ct, OKLAHOMA CITY |
State: | OK |
Postal Code: | 731595916 |
Phone Number: | 8179194270 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2011 |
NPI Last Update Date: | 08/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |