| Doctor Name: | MARTHA EDMONDS |
| NPI Number: | 1114996550 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 0904-001427 |
| Business Practice Address: | 2900 Tyler Rd Christiansburg, VA - 240736374 |
| Business Phone Number: | 5407317311 |
| Business Fax Number: | |
| Mailing Address: | 2865 Walls Branch Rd, BLACKSBURG |
| State: | VA |
| Postal Code: | 240603737 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/17/2006 |
| NPI Last Update Date: | 05/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0904-001427 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |