Khanedra Edwards Roberts in Portage - Speech-language Pathologist
Khanedra Edwards Roberts - NPI 1467503896
Khanedra Edwards Roberts is a Speech-language Pathologist in Portage, Indiana. Khanedra Edwards Roberts practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Khanedra Edwards Roberts is 1467503896. The last update date is 2020-03-31.
Khanedra Edwards Roberts's current location address is Po Box 812, Portage, Indiana. You can contact this provider via phone number 2193319514 and fax number 2199390020. The mailing address for Khanedra Edwards Roberts is Po Box 812, Portage, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Khanedra Edwards Roberts |
|---|---|
| Address | Po Box 812, Portage, Indiana |
| Phone Number | 2193319514 |
| Fax Number | 2199390020 |
| Sole Proprietor | N |
| Credentials | MS,CCC-SLP |
NPI Number Detail
| NPI Number | 1467503896 |
|---|---|
| Provider Enumeration Date | 2007-01-14 |
| Last Updated Date | 2020-03-31 |
Provider Mailing Address Detail
| Address | Po Box 812 |
|---|---|
| City | Portage |
| State | Indiana (IN) |
| Post Code | 463680812 |
| Phone Number | 2193319514 |
| Fax Number | 2199390020 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 22003661A |
|
Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200726320 | IN | SPEECH PATHOLOGIST | |
| 200340020A | IN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Khanedra Edwards Roberts?
The Khanedra Edwards Roberts has been issued the NPI (National Provider Identifier) 1467503896 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Khanedra Edwards Roberts is physically located?
The Khanedra Edwards Roberts is situated at the following address: Po Box 812, Portage, IN 463680812.
What is Khanedra Edwards Roberts's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Khanedra Edwards Roberts is Speech-language Pathologist, and the taxonomy classification code that categorizes this area of expertise is 235Z00000X.
On what date did the Khanedra Edwards Roberts receive the assignment of its 1467503896 from the Centers for Medicare & Medicaid Services?
The Khanedra Edwards Roberts was issued its 1467503896 by the Centers for Medicare & Medicaid Services on 2007-01-14.
When was the information regarding Khanedra Edwards Roberts most recently updated?
The details pertaining to the Khanedra Edwards Roberts, including its address, specialty, and other relevant information, were last refreshed on 2020-03-31.