Individual
MR. STEVEN R EDELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
907 HAY ST STE 203, FAYETTEVILLE, NC 28305-5352
(910) 826-3694
(910) 486-1590
Mailing address
345 LOCHSTONE CT, FAYETTEVILLE, NC 28303-5139
(910) 868-6565
(910) 486-1590
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
364
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107011
—
NC
Enumeration date
02/26/2007
Last updated
02/07/2014
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