Amanda Shannon Vaught
Clinical Psychologist
1400 Blackhorse Hill Rd
Coatesville
, Pennsylvania 19320-2040
Amanda Shannon Vaught
Clinical Psychologist
1400 Blackhorse Hill Rd
Coatesville
, Pennsylvania 19320-2040
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Amanda Shannon Vaught
- 1400 Blackhorse Hill Rd
- Coatesville, PA
- Zip : 19320-2040
- Phone :
Second Address
- Amanda Shannon Vaught
- 1400 Blackhorse Hill Rd
- Coatesville, PA
- Zip : 19320-2040
- Phone : (610) 384-7711
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 2232 | KS |
| Y | 103TC0700X | Clinical Psychologist | 2232 | KS |
National Provider Identifier
| NPI | 1013146117 |
|---|---|
| Provider Name | Amanda Shannon Vaught |
| First Address | Coatesville, PA 19320-2040 |
| Second Address | Coatesville, PA 19320-2040 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/07/2009 |
| Last Update Date | 09/02/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2232 | PSYCHOLOGY LICENSE (01) | KS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.