Individual
MRS. ELIZABETH ANNE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH PATHOLOGIST
Contact information
Practice address
1100 DINWIDDIE AVE, HOPEWELL, VA 23860-5609
(804) 541-6414
Mailing address
1100 DINWIDDIE AVE, HOPEWELL, VA 23860-5609
(804) 541-6414
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2203000372
—
VA
Enumeration date
04/25/2018
Last updated
04/25/2018
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