MR. WALLY GLENDALE VAUGHN JR. (NPI# 1740405299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740405299 |
| Entity Type | Individual |
| Full Name | MR. WALLY GLENDALE VAUGHN JR. |
| Credential | M.A. CCC-SLP |
| Practice Address |
3800 Wayne Memorial Dr Apt B7 Goldsboro NC 27534-7379 |
| Practice Telephone | 8033782905 |
| Mailing Telephone | 8033782905 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2014-11-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 8169 | NC | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
3800 WAYNE MEMORIAL DR APT B7 |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534-7379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023456209 | Better Speech and Language Center | Speech-Language Pathologist | 3888 E Ash St, Goldsboro, NC 27534-9304 | 2013-06-10 |
| 1174855910 | Letetia R Vann | Speech-Language Pathologist | 129 Creek Run Dr, Goldsboro, NC 27534-8632 | 2010-02-04 |
| 1558538710 | Crystal L Weeks | Speech-Language Pathologist | 300 Falling Creek Church Rd, Goldsboro, NC 27530-1048 | 2008-05-15 |
| 1326191826 | Cheryl M Davis | Speech-Language Pathologist | 105 Sawgrass Pl, Goldsboro, NC 27534-8037 | 2007-01-19 |
| 1053478198 | Brenda A. Taylor | Speech-Language Pathologist | 627 Deer Acres Dr, Goldsboro, NC 27530-9238 | 2007-01-01 |
| 1619037934 | Pamella R Ritt | Speech-Language Pathologist | 201 Breezewood Dr, Goldsboro, NC 27534-8903 | 2006-12-08 |
| 1588722664 | Barbara E Rowe | Speech-Language Pathologist | 100 Woods Mill Rd, Goldsboro, NC 27534-9122 | 2006-12-04 |
| 1558450171 | Gina Jernigan Renfroe | Speech-Language Pathologist | 110 Mourning Dove Ln, Goldsboro, NC 27534-9529 | 2006-10-12 |
| 1851488803 | Marilyn Patricia Waddell | Speech-Language Pathologist | 405 Todd Dr, Goldsboro, NC 27534-3240 | 2006-10-09 |
| 1710953096 | Nancy Mccall | Speech-Language Pathologist | 205 Glen Oak Dr, Goldsboro, NC 27534-1705 | 2006-02-27 |
| Find all providers in GOLDSBORO | ||||
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| 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.