| Khanedra Z Edwards | |
|
760 N Randolph St, Gary, IN 46403-2257 | |
| (219) 331-9514 | |
| (219) 939-0020 |
| Full Name | Khanedra Z Edwards |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 760 N Randolph St, Gary, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457492431 | NPI | - | NPPES |
| 200726320 | Medicaid | IN | |
| 200673060 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 22003661A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Khanedra Z Edwards Po Box 812, Portage, IN 46368-0812 Ph: (219) 331-9514 | Khanedra Z Edwards 760 N Randolph St, Gary, IN 46403-2257 Ph: (219) 331-9514 |
Myra J Akins, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6100 Miller Ave, Gary, IN 46403 Phone: 219-427-0196 Fax: 219-427-0197 | |
Valerie Alicia Roth, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6100 Miller Ave, Gary, IN 46403 Phone: 219-427-0196 Fax: 219-427-0197 | |
Melissa Ann Villagomez, CFY-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2350 Taft St, Gary, IN 46404 Phone: 219-977-2600 | |
Rae Emerick, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2350 Taft Street, Gary, IN 46407 Phone: 219-977-2600 | |
Kenyahtta Gray, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 353 Tyler St, Gary, IN 46402 Phone: 219-886-7070 | |
Mrs. Juanita Hannon Hamlin, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6100 Miller Ave, Gary, IN 46403 Phone: 219-427-0196 |