Individual
CARMEN T. EDMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
5656 E. GRANT RD., SUITE 100, TUCSON, AZ 85712
(520) 885-9567
Mailing address
13220 S 48TH ST, APT.#2035, PHOENIX, AZ 85044-5019
(480) 763-6041
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4869
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
994386
—
AZ
Enumeration date
04/03/2007
Last updated
07/09/2007
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