Individual
ELISABETH ANGELICA VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
150 POINT O'WOODS RD., WILLIAMSBURG, VA 23188-7052
(757) 566-3300
(757) 566-8977
Mailing address
150 POINT O'WOODS RD., WILLIAMSBURG, VA 23188-7052
(757) 566-3300
(757) 566-8977
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008458
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45084
OPTIMA
VA
05
—
49-7850-1
—
VA
Enumeration date
01/20/2017
Last updated
01/20/2017
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