Vitale, Deanna Vaughn
Vitale, Deanna Vaughn is an individual health care provider with primary practice located at 10301 Mayo Dr , Barling AR 72923-1660. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Vitale, Deanna Vaughn can be contacted via phone (479) 494-5760.Contact Information
Primary practice address
10301 Mayo Dr
Barling AR 72923-1660
Phone: (479) 494-5760
Fax: (479) 484-8142
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1241-C | Arkansas |
Profile Details
| NPI number | 1710916911 |
|---|---|
| LBN Legal business name | Vitale, Deanna Vaughn |
| Credentials | LSCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1710916911 | NPPES |
| Arkansas | Other | 5Y300 | BLUE CROSS |
| Arkansas | Other | 06070021300 | BLUE CROSS |
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