Individual
DR. C EDWARD QUALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
P2026
TN
103T00000X
Psychologist
Primary
P2026
TN
103T00000X
Psychologist
PSY5000037
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3688199
—
TN
Enumeration date
01/24/2007
Last updated
07/28/2025
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