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Individual

PATRICIA R EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS-CCC-SLP

Contact information

Practice address
1810 E BELTLINE AVE SE, DEVOS COMMUNICATIONS CENTER, 225A, GRAND RAPIDS, MI 49546-5951
(616) 954-1810
Mailing address
3951 BRIDGESTONE DR NE, GRAND RAPIDS, MI 49546-1378

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00972133
ASHA CERTIFICATION
Enumeration date
03/13/2013
Last updated
03/13/2013
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