Vaught, Susan Renee

Vaught, Susan Renee is an individual health care provider with primary practice located at 650 Joel Dr , Fort Campbell KY 42223-5318. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Vaught, Susan Renee can be contacted via phone (270) 298-8400.

Contact Information

Primary practice address
650 Joel Dr Fort Campbell KY 42223-5318
Phone: (270) 298-8400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X P001673 Tennessee
Behavioral Health & Social Service Providers / Clinical 103TC0700X P001673 Tennessee
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X P001673 Tennessee
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 130733 Kentucky
Behavioral Health & Social Service Providers / Clinical 103TC0700X 130733 Kentucky

Profile Details

NPI number 1457335903
LBN Legal business name Vaught, Susan Renee
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Jan 9th, 2024 - about 10 months 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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