Individual
DR. CHAD ROBERT EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
314 W CATALPA DR, SUITE E, MISHAWAKA, IN 46545-3194
(574) 254-1700
(574) 254-2930
Mailing address
10706 TRAILWOOD DR, FISHERS, IN 46038-6514
(574) 855-7169
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
20042553A
IN
Other
Enumeration date
01/11/2012
Last updated
02/16/2012
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