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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467503896 NPPES
Indiana Other 200726320 SPEECH PATHOLOGIST
Indiana MEDICAID 200340020A SPEECH PATHOLOGIST

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