Individual
DR. LAURIE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
430 ALTA VISTA ST STE 5, SANTA FE, NM 87505-4140
(808) 772-0423
(866) 821-5133
Mailing address
903 W ALAMEDA ST, SANTA FE, NM 87501-1681
(808) 772-0423
(866) 821-5133
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY1540
NM
103TC0700X
Clinical Psychologist
PSY1108
HI
Other
Enumeration date
06/29/2007
Last updated
12/11/2023
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