Roberta W. Edwards, SPEECH PATHOLOGIST

Speech-Language Pathologist · Jackson, MS

Individual Active NPI

NPI number 1053438325

Practice location

4607 Lindbergh Dr
Jackson, MS 39209-3855
Phone
(601) 203-6378
Fax
(601) 203-6379

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NPI record

NPI
1053438325
Entity type
Individual (Type 1)
Enumeration date
March 23, 2007
Last updated
January 6, 2022
Certified
January 6, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X S2373 MS

Mailing address

711 Avignon Dr
Ridgeland, MS 39157-5120
Phone
(601) 605-6777
Fax
(601) 813-5460

About Roberta Edwards

Roberta W. Edwards, SPEECH PATHOLOGIST is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 4607 Lindbergh Dr, Jackson, MS 39209-3855. The NPI number 1053438325 was assigned on March 23, 2007 and the record was last updated on January 6, 2022.

Roberta Edwards lists a license in the registry: #S2373 (MS) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Roberta W. Edwards, SPEECH PATHOLOGIST?

The NPI number is 1053438325.

What is the phone number of Roberta Edwards?

The phone number listed for the practice location is (601) 203-6378.

Where is Roberta Edwards located?

4607 Lindbergh Dr, Jackson, MS 39209-3855.

What is the taxonomy code for Roberta Edwards?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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