MRS. KATHLEEN WYVILL EDELEN (NPI# 1114498938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114498938 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN WYVILL EDELEN |
| Credential | MD |
| Practice Address |
7100 Croom Station Rd Upper Marlboro MD 20772-9657 |
| Practice Telephone | 3019520615 |
| Mailing Telephone | 3019520615 |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2018-12-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 02140 | MD | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508317439 | Kathleen Edelen | Counselor | 300 N Washington St, Suite 102, Falls Church, VA 22046-3438 | 2016-10-15 |
| Street Address |
7100 CROOM STATION RD |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20772-9657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355077 | Doris Lynn Perkins | Pharmacist | 5700 Southeast Crain Hwy, Upper Marlboro, MD 20772 | 2020-10-31 |
| 1730790221 | Creative Mind Therapy | Community/Behavioral Health | 12419 Dorsey Ln, Upper Marlboro, MD 20772 | 2020-08-10 |
| 1932727369 | Shaquitta Morton | Behavior Technician | 9440 Marlboro Pike 100, Upper Marlboro, MD 20772 | 2020-07-13 |
| 1760022958 | Keri Daniel | Nurse Practitioner | 9723 Frank Tippett Rd, Upper Marlboro, MD 20772 | 2020-01-15 |
| 1932668134 | Dentistry for Children of Maryland, LLC | Clinic/Center | 9616 Marlboro Pike, Upper Marlboro, MD 20772 | 2019-03-18 |
| 1033673918 | Shonte Renee Drakeford | Nurse Practitioner | 6610 Woodyard Road, Upper Marlboro, MD 20772 | 2019-01-25 |
| 1902391261 | Myenne Hanson | Home Health Aide | 5002 Ashford Dr, Upper Marlboro, MD 20772 | 2018-06-28 |
| 1659884849 | Clement Okehie | Home Health Aide | 13939 Bishops Bequest Rd, Upper Marlboro, MD 20772 | 2017-11-09 |
| 1497264766 | Fatu Barrie | Technician | 11112 Cranfod Drive, Upper Marlboro, MD 20772 | 2017-09-29 |
| 1801315080 | Hope Academy & Nursing Services | Nursing Care | 14101 Christian Street, Upper Marlboro, MD 20772 | 2017-09-19 |
| Find all providers in zip 20772 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978932 | Phoenix Pediatric Therapy Services, LLC | Speech-Language Pathologist | 16201 Trade Zone Ave Ste 106, Upper Marlboro, MD 20774-8758 | 2020-09-29 |
| 1598314593 | Jeanelle Leonce Kiarie | Speech-Language Pathologist | 12650 Brooke Ln, Upper Marlboro, MD 20772-9337 | 2019-09-11 |
| 1528611324 | Shrita Squire | Speech-Language Pathologist | 14308 Hampshire Hall Ct, Upper Marlboro, MD 20772-2955 | 2019-07-20 |
| 1750945465 | Lakeesha L Hammond | Speech-Language Pathologist | 1313 Merganser Ct, Upper Marlboro, MD 20774-7016 | 2019-04-29 |
| 1689238768 | Speech-language Swallowing Specialist, LLC | Speech-Language Pathologist | 5209 Chestnut Manor Ct, Upper Marlboro, MD 20772-3175 | 2019-04-24 |
| 1821561051 | Heather Kafele | Speech-Language Pathologist | 11440 Dunloring Pl, Upper Marlboro, MD 20774-5752 | 2019-01-10 |
| 1023581998 | Marcella Coleman | Speech-Language Pathologist | 11454 Dunloring Pl, Upper Marlboro, MD 20774-5776 | 2019-01-03 |
| 1982173175 | Caryl Denise King Grant | Speech-Language Pathologist | 501 Watkins Park Dr, Upper Marlboro, MD 20774-8801 | 2018-11-16 |
| 1013419340 | The Final Piece Speech and Language Therapy, LLC | Speech-Language Pathologist | 3716 Chancelsors Dr, Upper Marlboro, MD 20772-8246 | 2018-03-02 |
| 1104209816 | Building Bridges Therapies, LLC | Speech-Language Pathologist | 8539 Grandhaven Ave, Upper Marlboro, MD 20772-5070 | 2015-06-30 |
| Find all providers in UPPER MARLBORO | ||||
| City | UPPER MARLBORO |
| Zip Code | 20772 |
Please comment or provide details below to improve the information on MRS. KATHLEEN WYVILL EDELEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.