Individual
LORI VANDERBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814
(704) 355-4300
Mailing address
2618 PARK RD APT A, CHARLOTTE, NC 28209-1377
(662) 544-3355
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14247
NC
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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