Individual
DR. LEE THOMAS EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4103 MARATHON BLVD, 100B, AUSTIN, TX 78756-3719
(512) 458-9787
(512) 458-8752
Mailing address
5213 LERALYNN ST, AUSTIN, TX 78751-1915
(512) 467-0923
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
31266
TX
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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