Doctor Name: | DR. CAROL T. EDWARDS |
NPI Number: | 1598801375 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH. D. |
License Number: | PSY 9485 |
Business Practice Address: | 3708 Via La Selva Palos Verdes Estates, CA - 902741118 |
Business Phone Number: | 3107208933 |
Business Fax Number: | |
Mailing Address: | 3708 Via La Selva, PALOS VERDES ESTATES |
State: | CA |
Postal Code: | 902741118 |
Phone Number: | 3103756791 |
Fax Number: | |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY 9485 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |