Khanedra Z Edwards in Portage - Speech-language Pathologist
Khanedra Z Edwards - NPI 1457492431
Khanedra Z Edwards is a Speech-language Pathologist in Portage, Indiana. Khanedra Z Edwards practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Khanedra Z Edwards is 1457492431. The last update date is 2008-07-02.
Khanedra Z Edwards'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 Z Edwards is Po Box 812, Portage, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Khanedra Z Edwards |
|---|---|
| Address | Po Box 812, Portage, Indiana |
| Phone Number | 2193319514 |
| Fax Number | 2199390020 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SPEECH PAT |
|---|---|
| Authorized Official Name | Bryant Edwards Khanedra |
| Credentials | MS,CCC-SLP |
| Telephone Number | 2193319514 |
NPI Number Detail
| NPI Number | 1457492431 |
|---|---|
| Provider Enumeration Date | 2007-02-10 |
| Last Updated Date | 2008-07-02 |
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 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200726320 | IN | -- | |
| 200673060 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Khanedra Z Edwards by the Centers for Medicare & Medicaid Services?
The Khanedra Z Edwards has been assigned the NPI (National Provider Identifier) 1457492431. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Khanedra Z Edwards located?
The Khanedra Z Edwards is located at Po Box 812, Portage, IN 463680812.
What is the Khanedra Z Edwards's specialty and taxonomy code?
The Khanedra Z Edwards's specialty is Speech-language Pathologist, and the corresponding taxonomy code is 235Z00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1457492431 to Khanedra Z Edwards?
The Centers for Medicare & Medicaid Services originally issued the 1457492431 to Khanedra Z Edwards on 2007-02-10.
As of what date were the Khanedra Z Edwards's details last updated?
The information pertaining to the Khanedra Z Edwards, including its address, specialty, and other details, was most recently updated on 2008-07-02.
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