Kristin Edwards, MA, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Kingsford, MI
NPI 1942862016 · NPPES record last updated Jun 28, 2019
Key facts
- NPI
- 1942862016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 7101003468 (MI)
- Practice address
- 1225 Woodward Ave
Kingsford, MI 49802-4312 - Phone
- (906) 774-4805
- Fax
- (906) 774-1901
- NPI assigned
- Jun 28, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7101003468 | MI | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7101003468 | MI | Yes |
Addresses
Primary practice location
1225 Woodward Ave
Kingsford, MI 49802-4312
Mailing address
1225 Woodward Ave
Kingsford, MI 49802-4312
Other providers in Kingsford, MI
- Donald P Heilala DPM
- Erika Linn Donaldson
- Kassy Donaldson
- Lisa Marie Duca
- Amy Dykhuis
- Hanna Paige Ellis
- Gail Esaman
- Amy Everett
- Family Chiropractic Clinic PC
- Kristina Nichole Fredrickson
All providers in Kingsford, MI · Speech-Language Pathologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2019. 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.