Provider Demographics
NPI:1750484515
Name:EDWARD INVESTMENT, INC
Entity Type:Organization
Organization Name:EDWARD INVESTMENT, INC
Other - Org Name:EDWARDS SPEECH PATHOLOGY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PATHOLOGIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:EMEILA
Authorized Official - Middle Name:E
Authorized Official - Last Name:BAGHDASARIANS
Authorized Official - Suffix:
Authorized Official - Credentials:MSCCC-SLP
Authorized Official - Phone:818-230-2673
Mailing Address - Street 1:1111 N BRAND BLVD STE L
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91202-3071
Mailing Address - Country:US
Mailing Address - Phone:818-230-2673
Mailing Address - Fax:818-353-6225
Practice Address - Street 1:1111 N BRAND BLVD STE L
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91202-3071
Practice Address - Country:US
Practice Address - Phone:818-230-2673
Practice Address - Fax:818-353-6225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP15345305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service