Individual
DR. JASMINE GAIL EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1339 WOODMAN DR, DAYTON, OH 45432-3425
(937) 253-1987
Mailing address
100 GREENDALE DR, KETTERING, OH 45429-1576
(937) 298-1763
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3793
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0658328
—
OH
Enumeration date
09/12/2006
Last updated
10/12/2008
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