Provider Demographics
NPI:1871904854
Name:VAUGHN, SHARRON (MA CFY-SLP)
Entity type:Individual
Prefix:MS
First Name:SHARRON
Middle Name:
Last Name:VAUGHN
Suffix:
Gender:F
Credentials:MA CFY-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7201 N CLASSEN BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-7100
Mailing Address - Country:US
Mailing Address - Phone:405-840-1335
Mailing Address - Fax:
Practice Address - Street 1:7201 N CLASSEN BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-7100
Practice Address - Country:US
Practice Address - Phone:405-840-1335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-13
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist