| Doctor Name: | PAMELA RAY VAUGHAN |
| NPI Number: | 1306008172 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | 000006622 |
| Business Practice Address: | 71 Milk St Nantucket, MA - 025542642 |
| Business Phone Number: | 5082285801 |
| Business Fax Number: | |
| Mailing Address: | 2 Whalers Ln, Po Box 659 NANTUCKET |
| State: | MA |
| Postal Code: | 025543560 |
| Phone Number: | 5082285801 |
| Fax Number: | |
| NPI Enumeration Date: | 07/01/2008 |
| NPI Last Update Date: | 07/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 000006622 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |