| Doctor Name: | DR. DEBORAH KIPPS-VAUGHAN |
| NPI Number: | 1144394065 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY. D. |
| License Number: | 0810002752 |
| Business Practice Address: | 3401 Old Halifax Rd Suite F South Boston, VA - 245924951 |
| Business Phone Number: | 4345753017 |
| Business Fax Number: | 4345753023 |
| Mailing Address: | 1147 E Hyco Rd, SOUTH BOSTON |
| State: | VA |
| Postal Code: | 245926539 |
| Phone Number: | 4345753017 |
| Fax Number: | 4345753023 |
| NPI Enumeration Date: | 11/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 0810002752 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |