Doctor Name: | MRS. DIEDRE MICHELLE VANCE-COLLIER |
NPI Number: | 1912112673 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | SLP004038 |
Business Practice Address: | 3923 Lockridge Dr Land O Lakes, FL - 346388047 |
Business Phone Number: | 6787587291 |
Business Fax Number: | 8139489567 |
Mailing Address: | 3923 Lockridge Dr, LAND O LAKES |
State: | FL |
Postal Code: | 346388047 |
Phone Number: | 6787587291 |
Fax Number: | 8139489567 |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP004038 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
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 |