Healthcare Provider Details

I. General information

NPI: 1770493355
Provider Name (Legal Business Name): DEBORAH JEAN VORCE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBORAH JEAN VORCE MA CCC-SLP

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

519 W KALAMAZOO ST
LANSING MI
48933-2080
US

IV. Provider business mailing address

5244 RENEE CT
FOWLERVILLE MI
48836-8705
US

V. Phone/Fax

Practice location:
  • Phone: 517-375-5035
  • Fax:
Mailing address:
  • Phone: 517-375-5035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101002985
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: