| Doctor Name: | MS. SHICOLE MONIQUE EDISON |
| NPI Number: | 1922475169 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. |
| License Number: | 2840 |
| Business Practice Address: | 1614 Nw 47th St Lawton, OK - 735053208 |
| Business Phone Number: | 5803556033 |
| Business Fax Number: | |
| Mailing Address: | 6311 Sw Oak Cliff Ave, LAWTON |
| State: | OK |
| Postal Code: | 735057728 |
| Phone Number: | 5805363646 |
| Fax Number: | |
| NPI Enumeration Date: | 08/24/2015 |
| NPI Last Update Date: | 08/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2840 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |