Mrs Kathleen Wyvill Edelen, MD in Upper Marlboro, MD - Speech-Language Pathologist

Mrs Kathleen Wyvill Edelen, MD is a Speech-language Pathologist based in Upper Marlboro, Maryland. Mrs Kathleen Wyvill Edelen is licensed to practice in Maryland (license number 02140) and her current practice location is 7100 Croom Station Rd, Upper Marlboro, Maryland. She can be reached at her office (for appointments etc.) via phone at (301) 952-0615.

NPI number for Mrs Kathleen Wyvill Edelen is 1114498938 and her current mailing address is 7100 Croom Station Rd, Upper Marlboro, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114498938.

Contact Information

	Mrs Kathleen Wyvill Edelen, MD
	7100 Croom Station Rd, Upper Marlboro, MD 20772-9657
	(301) 952-0615
	Not Available

Healthcare Provider's Profile

Full Name	Mrs Kathleen Wyvill Edelen
Gender	Female
Speciality	Speech-language Pathologist
Location	7100 Croom Station Rd, Upper Marlboro, Maryland
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1114498938
Provider Enumeration Date: 12/06/2018
Last Update Date: 12/06/2018

Medical Identifiers

Medical identifiers for Mrs Kathleen Wyvill Edelen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114498938	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	02140 (Maryland)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kathleen Wyvill Edelen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Kathleen Wyvill Edelen, MD 7100 Croom Station Rd, Upper Marlboro, MD 20772-9657 Ph: (301) 952-0615	Mrs Kathleen Wyvill Edelen, MD 7100 Croom Station Rd, Upper Marlboro, MD 20772-9657 Ph: (301) 952-0615

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Speech-Language Pathologist in Upper Marlboro, MD

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Building Bridges Therapies, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8539 Grandhaven Ave, Upper Marlboro, MD 20772 Phone: 202-688-1038 Fax: 202-688-2774
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Mrs Kathleen Wyvill Edelen, MD - Speech-Language Pathologist in Upper Marlboro, MD