Edwards, Kathleen Lane

Edwards, Kathleen Lane is an individual health care provider with primary practice located at 1410 Chattanooga Ave , Dalton GA 30720-2564. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Edwards, Kathleen Lane can be contacted via phone (706) 226-4623.

Contact Information

Primary practice address
1410 Chattanooga Ave Dalton GA 30720-2564
Fax: (706) 278-0580
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 001899 Georgia

Profile Details

NPI number 1922018738
LBN Legal business name Edwards, Kathleen Lane
Credentials MA, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Dec 8th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922018738 NPPES
Georgia MEDICAID 000565133B

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