Charlsa Edge, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

117052 Issued in TX

Practice address

102 Profit Dr
Victoria, TX 77901-7346

Phone

(361) 576-3131

NPI assigned

Sep 7, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1033830286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 TAOS DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043766",
            "telephone_number": "361-935-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PROFIT DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779017346",
            "telephone_number": "361-576-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGE",
        "first_name": "CHARLSA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "117052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra M Dworaczyk, PTA
• E Daryl Bickford Mdpa
• Robert L Ebeling Jr., M.D.
• Crystal Joan Eberhard, FNP-C
• Matthew Robert Eberly, DPM
• Effat E Ahmadi DMD PLLC
• Casie Ehrig, LPC
• Shelli Ann Eichler
• Joy L Eiland, M.S.
• Patricia Ekessa, PHARMD

• Speech-Language Pathologist in Victoria, TX
• Providers in Victoria, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.