Provider Demographics
NPI:1811019961
Name:VANMETER, ADELIA M (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ADELIA
Middle Name:M
Last Name:VANMETER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8120 MOORSBRIDGE
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:MI
Mailing Address - Zip Code:49024-5344
Mailing Address - Country:US
Mailing Address - Phone:269-324-0881
Mailing Address - Fax:
Practice Address - Street 1:8120 MOORSBRIDGE
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:MI
Practice Address - Zip Code:49024-5344
Practice Address - Country:US
Practice Address - Phone:269-324-0881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist