Roberts, Khanedra Edwards
Roberts, Khanedra Edwards is an individual health care provider with primary practice located at 2812 Cumberland Dr Apt 1G , Valparaiso IN 46383-2532. 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. Roberts, Khanedra Edwards can be contacted via phone (219) 331-9514.Contact Information
Primary practice address
2812 Cumberland Dr Apt 1G
Valparaiso IN 46383-2532
Phone: (219) 331-9514
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 22003661A | Indiana |
Profile Details
| NPI number | 1467503896 |
|---|---|
| LBN Legal business name | Roberts, Khanedra Edwards |
| Credentials | MS,CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 14th, 2007 |
| Last updated | Mar 31st, 2020 - about 5 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 | 1467503896 | NPPES |
| Indiana | Other | 200726320 | SPEECH PATHOLOGIST |
| Indiana | MEDICAID | 200340020A | SPEECH PATHOLOGIST |
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