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Individual

C. EDWARD VANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S. CCC-SLP

Contact information

Practice address
261 W FREEMASON ST, NORFOLK, VA 23510-1290
(757) 668-8985
(757) 668-9111
Mailing address
261 W FREEMASON ST, NORFOLK, VA 23510-1290
(757) 668-8985
(757) 668-9111

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202001573
VA
235Z00000X
Speech-Language Pathologist
3603
NC
235Z00000X
Speech-Language Pathologist
SA8384
FL

Other

Enumeration date
04/11/2007
Last updated
07/08/2007
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