Doctor Name: | MICHAEL JAMES VANLUE |
NPI Number: | 1699954974 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 1054 |
Business Practice Address: | 400 University Hall Drive Room 120 Boone, NC - 286082041 |
Business Phone Number: | 8282622185 |
Business Fax Number: | 8282626766 |
Mailing Address: | 400 University Hall Drive Room 120, BOONE |
State: | NC |
Postal Code: | 286082041 |
Phone Number: | 8282622185 |
Fax Number: | 8282626766 |
NPI Enumeration Date: | 11/02/2007 |
NPI Last Update Date: | 03/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1054 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |