Individual
MRS. CHRISTINA KANE EDMONDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC/SLP
Contact information
Practice address
1400 FORDHAM DR, VIRGINIA BEACH, VA 23464-5368
(757) 635-7992
Mailing address
779 ORIOLE DR, VIRGINIA BEACH, VA 23451-4959
(757) 635-7992
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202001329
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4980701
—
VA
Enumeration date
07/30/2006
Last updated
07/08/2007
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