Individual
AQUILLA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5729 LEBANON RD STE 144, FRISCO, TX 75034-7259
(212) 780-2500
Mailing address
5729 LEBANON RD. STE. 144, #564, FRISCO, TX 75034
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
021746
NY
103T00000X
Psychologist
Primary
39751
TX
Other
Enumeration date
01/08/2015
Last updated
08/27/2024
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