Individual
KATHERINE BRYANT EDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP CCC-SLP
Contact information
Practice address
829 RIVEN OAK DRIVE, MURRELLS INLET, SC 29576
(843) 457-8292
Mailing address
829 RIVEN OAK DR, MURRELLS INLET, SC 29576-7750
(843) 457-8292
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4206
SC
Other
Enumeration date
02/19/2012
Last updated
05/02/2017
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