Individual
DR. TIFFANY EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
900 N KINGSBURY ST STE RW-6, CHICAGO, IL 60610
(312) 222-8230
Mailing address
1630 CHICAGO AVE APT 313, EVANSTON, IL 60201-4574
(917) 575-8568
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
017362
NY
103TC0700X
Clinical Psychologist
Primary
071009309
IL
Other
Enumeration date
02/21/2018
Last updated
04/15/2024
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