Individual
DR. DANIEL EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
75 FENWOOD RD, BOSTON, MA 02115-6103
(617) 626-9318
Mailing address
75 FENWOOD RD, BOSTON, MA 02115-6103
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9416
MA
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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