Organization
LAURIE EDWARDS PHD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURIE EDWARDS PHD (OWNER)
(808) 772-0423
Entity
Organization
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
103TC0700X
Clinical Psychologist
Primary
PSY 1108
HI
Other
Enumeration date
11/08/2010
Last updated
01/17/2024
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