Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
N | 101YP1600X | Pastoral Counselor | ||
N | 101YP2500X | Professional Counselor | ||
N | 101YS0200X | School Counselor | ||
Y | 103TB0200X | Cognitive & Behavioral Psychologist | ||
N | 103TF0000X | Family Psychologist | ||
N | 103TR0400X | Rehabilitation Psychologist |
NPI | 1730720475 |
---|---|
Provider Name | Dr. Joy Vaughan |
First Address | Fort Lauderdale, FL 33313-6438 |
Second Address | Fort Lauderdale, FL 33313-6438 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2019 |
Last Update Date | 03/10/2019 |