Organization
EDWARDS PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN EDWARDS PH.D. (OWNER)
(740) 246-4963
Entity
Organization
Contact information
Practice address
14880 STATE ROUTE 13, THORNVILLE, OH 43076-8954
(740) 246-4963
Mailing address
14880 STATE ROUTE 13, THORNVILLE, OH 43076-8954
(740) 246-4963
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5679
OH
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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