Provider Demographics
NPI:1851172191
Name:HUNKELE, VAUGHN
Entity Type:Individual
Prefix:
First Name:VAUGHN
Middle Name:
Last Name:HUNKELE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:336 LOOK OUT LN
Mailing Address - Street 2:
Mailing Address - City:TARENTUM
Mailing Address - State:PA
Mailing Address - Zip Code:15084-3621
Mailing Address - Country:US
Mailing Address - Phone:724-882-8762
Mailing Address - Fax:
Practice Address - Street 1:1398 PAGE ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15233-2007
Practice Address - Country:US
Practice Address - Phone:412-529-3105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health