Individual
NANCY VANDERVORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16216 BAXTER RD STE 330, CHESTERFIELD, MO 63017-4778
(636) 733-3330
Mailing address
16216 BAXTER RD STE 330, CHESTERFIELD, MO 63017-4778
(636) 733-3330
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2016614766
MO
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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