Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Koren Colleen Edwards, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1578218467

Mrs. Koren Colleen Edwards, CCC-SLP is a Speech-Language Pathologist in Maryville, Illinois. Licensed in Virginia. Registered with an NPI since 2022.

Licensed in
VA
In the registry since
2022
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

6800 State Route 162
Maryville, IL 62062-8500
Phone: (618) 288-5711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2202010267 (VA)

Record details

NPI number1578218467
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedFebruary 18, 2022
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024

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