Individual
HEIDI SUZANNE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
28765 SINGLE OAK DR STE 125, TEMECULA, CA 92590-3678
(951) 552-1126
Mailing address
28765 SINGLE OAK DR STE 125, TEMECULA, CA 92590-3678
(951) 552-1126
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
32390
CA
Other
Enumeration date
03/06/2021
Last updated
01/22/2022
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