Individual ProviderCharlsa EdgeSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address102 Profit Dr, Victoria, TX 77901-7346(361) 576-3131(361) 935-8779PECOS EnrollmentBased on the most recent information from CMS, provider Charlsa Edge does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1033830286Provider TypeIndividualFull NameEdge, CharlsaCredentialCCC-SLPGenderFemaleSole ProprietorNoEnumeration Date9/7/2022Last Updated9/7/2022Contact InformationPractice LocationPractice Address102 Profit Dr, Victoria, TX 77901-7346Phone(361) 576-3131FaxUnlisted FaxMailing LocationMailing Address913 Taos Dr, Victoria, TX 77904-3766Phone(361) 935-8779FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense117052Texas