Vance-Collier, Diedre Michelle

Vance-Collier, Diedre Michelle is an individual health care provider with primary practice located at 3923 Lockridge Dr , Land O Lakes FL 34638-8047. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Vance-Collier, Diedre Michelle can be contacted via phone (678) 758-7291.

Contact Information

Primary practice address
3923 Lockridge Dr Land O Lakes FL 34638-8047
Phone: (678) 758-7291
Fax: (813) 948-9567
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP004038 Georgia
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA 8665 Florida

Profile Details

NPI number 1912112673
LBN Legal business name Vance-Collier, Diedre Michelle
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Jul 9th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912112673 NPPES
Florida MEDICAID 8918422

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