Individual
DR. EDWARD FRANCIS TILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3432 DEPEW AVE, PORT CHARLOTTE, FL 33952-7015
(239) 265-6151
(239) 561-3646
Mailing address
PO BOX 61637, FORT MYERS, FL 33906-1637
(239) 265-6151
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY4180
FL
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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