Edwards, Katie Celise
Edwards, Katie Celise is an sole proprietor health care provider with primary practice located at 812 Jefferson St Ne , Albuquerque NM 87110-6206. 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, Katie Celise can be contacted via phone (505) 463-3276.Contact Information
Primary practice address
812 Jefferson St Ne
Albuquerque NM 87110-6206
Phone: (505) 463-3276
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2606 | New Mexico |
Profile Details
| NPI number | 1336217256 |
|---|---|
| LBN Legal business name | Edwards, Katie Celise |
| Credentials | M.A., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Sep 1st, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336217256 | NPPES |
| New Mexico | MEDICAID | 00067332 |
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