Provider Demographics
NPI:1770355620
Name:EDEL, MANDEE HELEN (SLP)
Entity type:Individual
Prefix:
First Name:MANDEE
Middle Name:HELEN
Last Name:EDEL
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 5TH ST NE
Mailing Address - Street 2:
Mailing Address - City:BONDURANT
Mailing Address - State:IA
Mailing Address - Zip Code:50035-2602
Mailing Address - Country:US
Mailing Address - Phone:816-729-9638
Mailing Address - Fax:
Practice Address - Street 1:3602 NW 5TH ST
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-9399
Practice Address - Country:US
Practice Address - Phone:515-850-1718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-24
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist