Individual
IVY NIKOLE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
406 S 6TH ST, MURRAY, KY 42071-2608
(270) 227-4349
Mailing address
406 S 6TH ST, MURRAY, KY 42071-2608
(270) 227-4349
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14355552
KY
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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