Individual
ANDREA EDMONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CF-SLP
Contact information
Practice address
4801 TROUP HWY, STE 800, TYLER, TX 75703-2356
(903) 939-2800
Mailing address
500 BIRCH ST, LONGVIEW, TX 75604-2307
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
104158
TX
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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