Individual
MRS. CARMEN D EDWARDS-HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED. CCC-SLP
Contact information
Practice address
1020 HIGHLANDS DRIVE, EAGLE POINT, OR 97524
(575) 714-0554
Mailing address
1020 HIGHLANDS DRIVE, EAGLE POINT, EAGLE POINT, OR 97524
(575) 714-0554
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15326
OR
235Z00000X
Speech-Language Pathologist
3077
NM
235Z00000X
Speech-Language Pathologist
—
TX
Other
Enumeration date
11/07/2006
Last updated
11/13/2019
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