Individual
DR. CHRISTOPHER ARLEN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
441 E BROAD ST, SUITE D, COOKEVILLE, TN 38501-3389
(931) 520-0535
(931) 520-0537
Mailing address
441 E BROAD ST, SUITE D, COOKEVILLE, TN 38501-3389
(931) 520-0535
(931) 520-0537
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
P2278
TN
103TC0700X
Clinical Psychologist
Primary
P2278
TN
103TC0700X
Clinical Psychologist
PSY-202526
ID
103TC2200X
Clinical Child & Adolescent Psychologist
P2278
TN
103TH0100X
Health Service Psychologist
P2278
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3133273
BC/BS OF TENNESSEE
TN
05
—
3981616
—
TN
Enumeration date
05/05/2006
Last updated
08/15/2019
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