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Individual
VANESSA I MAYER
Active
Individual
VANESSA I MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED. CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005703
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396706065
—
VA
01
—
1720111404
ANTHEM BC/BS
VA
01
—
496612
MEDICARE
—
Enumeration date
08/24/2009
Last updated
01/13/2011
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