Michelle Vandivier

NPI #1437568524 in Brandon, Florida

Provider Information

NPI Number
1437568524
Entity Type
Individual
Name
Michelle Vandivier
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Aug 4, 2014
Last Updated
Sep 22, 2014

Practice Location

Address
602 VONDERBURG DR
Address 2
SUITE 201
State
Florida
ZIP Code
33511-5900
Phone
(813) 653-1149

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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