Provider Demographics
NPI:1609115153
Name:EDWARDS, KATHRYN ANNETTE (AUD)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:ANNETTE
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 ALDINE BENDER ROAD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77032
Mailing Address - Country:US
Mailing Address - Phone:936-582-7000
Mailing Address - Fax:
Practice Address - Street 1:2001 ALDINE BENDER ROAD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77032
Practice Address - Country:US
Practice Address - Phone:281-985-6491
Practice Address - Fax:281-985-6907
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80340231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist