Moor, Mary Vaughn
Moor, Mary Vaughn is an individual health care provider with primary practice located at 1518 Savannah Rd , Lewes DE 19958. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moor, Mary Vaughn can be contacted via phone (302) 448-4266.Contact Information
Primary practice address
1518 Savannah Rd
Lewes DE 19958
Phone: (302) 448-4266
Fax: (302) 448-4193
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | B1-0000901 | Delaware |
Profile Details
| NPI number | 1558648519 |
|---|---|
| LBN Legal business name | Moor, Mary Vaughn |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2011 |
| Last updated | Jan 31st, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558648519 | NPPES |
| Delaware | MEDICAID | 510402460 |
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