Organization
REGINA C. EDWARDS, MA CCC-SLP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA EDWARDS (PRESIDENT)
(828) 768-4462
Entity
Organization
Contact information
Practice address
40 WESTGATE RD, ASHEVILLE, NC 28806-3023
(828) 768-4462
Mailing address
825-C MERRIMON AVE., #395, ASHEVILLE, NC 28804-2404
(828) 768-4462
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
8300183
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300183
—
NC
Enumeration date
05/31/2007
Last updated
03/19/2008
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