MISS GAYLE MAUREEN VAUGHAN


Address: 2240 Ridge Dr, #14, St Louis Park, MN 55416-5627
Phone: 6127203614

MISS GAYLE MAUREEN VAUGHAN (NPI# 1326254996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326254996
Entity Type Individual
Full Name MISS GAYLE MAUREEN VAUGHAN
Credential MA, LSC
Practice Address 2240 Ridge Dr
#14
St Louis Park
MN 55416-5627
Practice Telephone 6127203614
Mailing Telephone 6127203614
Enumeration Date 2007-05-14
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YS0200X Counselor
Specialization: School
404390 MN Behavioral Health & Social Service Providers

Office Location

Street Address 2240 RIDGE DR
#14
City ST LOUIS PARK
State MN
Zip Code 55416-5627

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Taxonomy Information

Taxonomy Code 101YS0200X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization School

Taxonomy Definition

Definition to come...

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Competitor

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City ST LOUIS PARK
Zip Code 55416

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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