Individual
AMBER L EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6040 LUTE RD, PORTAGE, IN 46368-5008
(219) 763-6858
(219) 763-6858
Mailing address
11963 CASSANDRA LN, WESTVILLE, IN 46391
(219) 785-0004
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004192A
IN
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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