Edwards, Roberta W
Edwards, Roberta W is an individual health care provider with primary practice located at 4607 Lindbergh Dr , Jackson MS 39209-3855. 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, Roberta W can be contacted via phone (601) 203-6378.Contact Information
Primary practice address
4607 Lindbergh Dr
Jackson MS 39209-3855
Phone: (601) 203-6378
Fax: (601) 203-6379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | S2373 | Mississippi |
Profile Details
| NPI number | 1053438325 |
|---|---|
| LBN Legal business name | Edwards, Roberta W |
| Credentials | SPEECH PATHOLOGIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2007 |
| Last updated | Jan 6th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053438325 | NPPES |
| Mississippi | MEDICAID | 07071013 |
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