Individual
ANNA VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1746 ALDERBROOK RD NE, ATLANTA, GA 30345-4110
(770) 630-4104
Mailing address
1746 ALDERBROOK RD NE, ATLANTA, GA 30345-4110
(770) 630-4104
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007337
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12130056
ASHA
—
01
—
SLP007337
GEORGIA BOARD OF EXAMINER'S
GA
Enumeration date
02/05/2020
Last updated
03/08/2022
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