MEDICARE: MRS. ZELMA F VANCE M.S., CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	2003009583	MO
2	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1730445818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ZELMA F VANCE M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	PO BOX 181
Second Line	:
City	:	GOLDEN
State	:	MO
Zip	:	65658-0181
Country	:	US
Telephone Number	:	417-459-0647
Fax Number	:

Provider Business Practice Location Address
First Line	:	916 GOBLIN DR
Second Line	:
City	:	HARRISON
State	:	AR
Zip	:	72601-8885
Country	:	US
Telephone Number	:	870-654-3869
Fax Number	:	870-505-2016

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2012
Last Update Date	:	12/16/2024

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Directions to “ MRS. ZELMA F VANCE M.S., CCC-SLP” Practice Location

Language	Start Address	Practice Location

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