Provider Demographics
NPI:1942965181
Name:EDWARDS, CHRISTYN RENE
Entity Type:Individual
Prefix:
First Name:CHRISTYN
Middle Name:RENE
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 WITTON CT APT 102
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-6413
Mailing Address - Country:US
Mailing Address - Phone:757-561-1586
Mailing Address - Fax:
Practice Address - Street 1:751 HILLSDALE DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-3300
Practice Address - Country:US
Practice Address - Phone:434-973-1155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-02
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist