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NPI Code Detail

MEDICARE: CYNTHIA C EDMISTON SLP

MEDICARE: CYNTHIA C EDMISTON SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist19506TX

General Provider Information

NPI Number : 1790839546
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA C EDMISTON SLP
Provider Business Mailing Address
First Line : 12371 S KIRKWOOD RD
Second Line :
City : STAFFORD
State : TX
Zip : 77477-2836
Country : US
Telephone Number : 713-773-5120
Fax Number : 281-288-8636
Provider Business Practice Location Address
First Line : 12371 S KIRKWOOD RD
Second Line :
City : STAFFORD
State : TX
Zip : 77477-2836
Country : US
Telephone Number : 713-773-5120
Fax Number : 281-288-8636
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2007
Last Update Date : 02/08/2012

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Directions to “ CYNTHIA C EDMISTON SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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