Individual
EDWIN VINCENT SPERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
912 HOLDEN STREET, AUGUSTA, GA 30904
(706) 736-1651
(706) 737-9706
Mailing address
912 HOLDEN STREET, AUGUSTA, GA 30904
(706) 736-1651
(706) 737-9706
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
613
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52184669001
BCBS GA
GA
Enumeration date
09/26/2006
Last updated
07/08/2007
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