Individual
DR. EVELYN PAGE EDMUNDS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1208 E CHURCHVILLE RD, SUITE 300, BEL AIR, MD 21014-3442
(410) 893-1407
(410) 877-1897
Mailing address
1701 CHATSWORTH CT, FALLSTON, MD 21047-1503
(410) 877-7825
(410) 877-1897
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
02189
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0 G568 EP 62
CAREFIRST PROVIDER #
MD
01
—
002410
VALUE OPTIONS PROVIDER #
MH
01
—
100026480001
APS PROVIDER #
MD
01
—
221875
COMPSYCH PROVIDER #
MD
Enumeration date
06/22/2006
Last updated
07/08/2007
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