Provider Demographics
NPI:1558619635
Name:VAUGHAN, DANIELLE LYNN (MS,ED)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:LYNN
Last Name:VAUGHAN
Suffix:
Gender:F
Credentials:MS,ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 VIENNA CT
Mailing Address - Street 2:
Mailing Address - City:BURNT HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:12027-9303
Mailing Address - Country:US
Mailing Address - Phone:518-810-8459
Mailing Address - Fax:518-280-2826
Practice Address - Street 1:13 VIENNA CT
Practice Address - Street 2:
Practice Address - City:BURNT HILLS
Practice Address - State:NY
Practice Address - Zip Code:12027-9303
Practice Address - Country:US
Practice Address - Phone:518-810-8459
Practice Address - Fax:518-280-2826
Is Sole Proprietor?:No
Enumeration Date:2012-08-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist