Vaughn R Jefferson Psyd Mdiv Lp Llc is a Clinical - Psychology Clinic in Shoreview, Minnesota. It is located at 1030 West County Road E, Ste 260, Shoreview, MN and its contact number is 651-483-1333. The authorized person for Vaughn R Jefferson Psyd Mdiv Lp Llc is Dr. Vaughn Robert Jefferson
who is President of the clinic and his/her contact number is 651-483-1333. The primary license number for Vaughn R Jefferson Psyd Mdiv Lp Llc is LP 1666 (Clinical) in Minnesota. Vaughn R Jefferson Psyd Mdiv Lp Llc Clinic has mental health professionals specialized in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). Psychologists main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that psychologists can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Clinic Profile:
Vaughn R Jefferson Psyd Mdiv Lp Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Vaughn R Jefferson Psyd Mdiv Lp Llc
Specialization:
Clinical Psychology
Clinic Address:
1030 West County Road E, Ste 260, Shoreview, Minnesota, 55126
Phone:
651-483-1333
Fax:
651-789-3088
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Vaughn Robert Jefferson
Position:
President
Contact Number:
651-483-1333
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Vaughn R Jefferson Psyd Mdiv Lp Llc clinic are as mentioned below.
NPI Number:
1801036272
NPI Enumeration Date:
25 Feb, 2009
NPI Last Update On:
06 Nov, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Vaughn R Jefferson Psyd Mdiv Lp Llc are as mentioned below.
Specialization
License Number
State
Status
Clinical
LP 1666
Minnesota
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
688750300
Medicaid
Minnesota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Vaughn R Jefferson Psyd Mdiv Lp Llc 1030 West County Road E, Ste 260 Shoreview, Minnesota
Zip:
55126
Phone Number:
651-483-1333
Fax Number:
651-789-3088
Patients can reach Vaughn R Jefferson Psyd Mdiv Lp Llc at 1030 West County Road E, Ste 260, Shoreview, Minnesota or can call to book an appointment on 651-483-1333. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.