Individual
KATHLEEN ANN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
SCOTTISH RITE CHILDHOOD LANGUAGE CENTER, 4202 HERMITAGE ROAD, RICHMOND, VA 23227-3755
(804) 266-6699
(804) 264-5988
Mailing address
4202 HERMITAGE ROAD, RICHMOND, VA 23227-3755
(804) 266-6699
(804) 264-5988
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202001611
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11123
CARENET
VI
01
—
195246
BCBS
VA
01
—
255800
ALLIANCE NETWORK
VA
01
—
259332
SOUTHERN HEALTH
VA
01
—
3822946
CIGNA PPO
VA
05
—
49-7877-3
—
VA
Enumeration date
08/24/2006
Last updated
07/08/2007
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