Nicole Vaughn, MCD, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Harrisburg, AR
NPI 1487031316 · NPPES record last updated Feb 29, 2016
Key facts
- NPI
- 1487031316
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- P8893 (AR)
- Practice address
- 1606 Pine Grove LN
Harrisburg, AR 72432-9304 - Phone
- (870) 761-9155
- NPI assigned
- Apr 29, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P8893 | AR | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | P8893 | AR | Yes |
Addresses
Primary practice location
1606 Pine Grove LN
Harrisburg, AR 72432-9304
Mailing address
121 Harper Dr
Brookland, AR 72417-9063
Phone (870) 761-9155
Other providers in Harrisburg, AR
- Kathryn Danielle Shatley
- Sister'S Education, LLC
- Marley Mae Smith
- Stephanie Shannon Smith
- State of Arkansas
- Vonda Gale Houchin, M.D. PA
- Mary Beth Wallace
- Leigh Ann Walton
- Ashley Nichole Williams
- Carey Elizabeth Witt
All providers in Harrisburg, AR · Speech-Language Pathologist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.