Individual
MRS. DIEDRE MICHELLE VANCE-COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3923 LOCKRIDGE DR, LAND O LAKES, FL 34638-8047
(678) 758-7291
(813) 948-9567
Mailing address
3923 LOCKRIDGE DR, LAND O LAKES, FL 34638-8047
(678) 758-7291
(813) 948-9567
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 8665
FL
235Z00000X
Speech-Language Pathologist
SLP004038
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8918422
—
FL
Enumeration date
05/14/2007
Last updated
07/09/2007
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