Hardesty, Vaughn A

Hardesty, Vaughn A is an sole proprietor health care provider with primary practice located at 32 Pleasant St , Portland ME 04101-3912. He recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Cognitive & Behavioral is his primary health care specialty. Hardesty, Vaughn A can be contacted via phone (207) 828-5309.

Contact Information

Primary practice address
32 Pleasant St Portland ME 04101-3912
Phone: (207) 828-5309
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PS 204 Maine
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS 204 Maine
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS 204 Maine
Behavioral Health & Social Service Providers / Family 103TF0000X PS 204 Maine
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X PS 204 Maine
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS 204 Maine
Behavioral Health & Social Service Providers / School 103TS0200X PS 204 Maine

Profile Details

NPI number 1871658294
LBN Legal business name Hardesty, Vaughn A
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 26th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871658294 NPPES
Other 7041539 AETNA
Other 003499 AETNA
Other 2068373 AETNA
Other A014080 AETNA

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