Individual
DR. WESTON MICHAEL EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LP
Contact information
Practice address
1409 WILLOW ST STE 400, MINNEAPOLIS, MN 55403-3251
(612) 872-1500
(612) 872-2205
Mailing address
1409 WILLOW ST STE 400, MINNEAPOLIS, MN 55403-3251
(612) 872-1500
(612) 872-2205
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP3347
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6177516
UBH
—
01
—
635K4ED
BCBS
—
Enumeration date
03/15/2007
Last updated
01/09/2009
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