Heather Edwards
Individual provider Active NPI Speech-Language Pathologist · Aurora, MO
NPI 1275145237 · NPPES record last updated Aug 22, 2023
Key facts
- NPI
- 1275145237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2020022065 (MO)
- Practice address
- 1034 S Lincoln Ave
Aurora, MO 65605-1824 - Phone
- (417) 678-7436
- NPI assigned
- Aug 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020022065 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2020022065 | MO | Yes |
Addresses
Primary practice location
1034 S Lincoln Ave
Aurora, MO 65605-1824
Mailing address
12473 Lawrence 1245
Marionville, MO 65705-8155
Other providers in Aurora, MO
- Nancy Margaret Daily
- Thomas M. Doering
- Linda Donnelson
- Monica J Dummit
- John Tucker Dunham
- William E. Finfrock
- Larry W Forehand
- Richard Alan Freitas
- Benjamin T Gallion
- Bradford P Garner
All providers in Aurora, MO · Speech-Language Pathologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.