Individual
MRS. DEBORAH M. VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC,SLP
Contact information
Practice address
3816 N ELM ST STE E, GREENSBORO, NC 27455-2776
(336) 370-4070
(336) 370-9008
Mailing address
2109 ROSEMONT DR, COLFAX, NC 27235-9638
(336) 688-2591
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
406
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013X1
BCBS GROUP PROV. #
NC
01
—
137KF
BCBS INDIV.PROVIDER#
NC
01
—
7211258
MEDICAID GROUP PROV. #
NC
05
—
7411224
—
NC
Enumeration date
01/22/2007
Last updated
08/26/2010
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