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Alexis Vaughn
Health Service Psychologist in Lake City, Florida
NPI 1689210791

Alexis Vaughn is a Health Service Psychologist based in Lake City, FL and is specialized in Health Service. Alexis Vaughn practices in Lake City, FL. The NPI Number for Alexis Vaughn is 1689210791 and holds a License No. (Florida).

The current practice location address for Alexis Vaughn is 203 Ne Montana St, Lake City, FL and can be reached out via phone at 386-292-3205.

Location: 203 Ne Montana St, Lake City, FL, 32055-2183
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689210791
Provider Name
Alexis Vaughn
Credential
Provider Entity Type
Individual
Gender
Female
Address
203 Ne Montana St, Lake City, FL, 32055-2183
Phone Number
386-292-3205
Fax Number
Provider Enumeration Date
11/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
203 Ne Montana St
City
Lake City
State
Florida
Zip
32055-2183
Phone Number
386-292-3205
Fax Number
person
Provider Business Mailing Address Details
Address
203 Ne Montana St
City
Lake City
State
Florida
Zip
32055-2183
Phone Number
386-292-3205
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
()
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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