Individual
DR. KRISTIN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
205 S HOOVER BLVD STE 204, TAMPA, FL 33609-3533
(813) 419-7391
Mailing address
205 S HOOVER BLVD STE 204, TAMPA, FL 33609-3533
(813) 419-7391
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY11129
FL
103TC0700X
Clinical Psychologist
Primary
PY11129
FL
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
04/08/2019
Last updated
10/13/2022
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