Doctor Name: | MS. AMELIA ELIZABETH EDWARDS |
NPI Number: | 1003967746 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | ISW01457 |
Business Practice Address: | 198 Hanover Street Fall River, MA - 02720 |
Business Phone Number: | 5084932116 |
Business Fax Number: | 5086365485 |
Mailing Address: | 129 Cross Rd, WESTPORT |
State: | MA |
Postal Code: | 027905108 |
Phone Number: | 5084932116 |
Fax Number: | 5086365485 |
NPI Enumeration Date: | 01/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | ISW01457 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | RI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |