Individual
STANLEY EDWARDS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1045 KLOTZ RD, BOWLING GREEN, OH 43402-4820
(419) 352-7588
(419) 354-4977
Mailing address
1045 KLOTZ RD, P.O. BOX 738, BOWLING GREEN, OH 43402-4820
(419) 352-7588
(419) 354-4977
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6096
OH
Other
Enumeration date
09/30/2005
Last updated
07/08/2007
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