Individual
STEVEN MICHAEL EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
7115 E SAINT CHARLES RD, COLUMBIA, MO 65202-0196
(573) 884-6851
(573) 884-0293
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2019046662
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490081433
—
MO
Enumeration date
02/07/2020
Last updated
09/14/2022
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