Individual
DR. GENE RANDOLPH EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1923 J N PEASE PL, SUITE 204, CHARLOTTE, NC 28262-4513
(704) 503-3535
(704) 593-5555
Mailing address
1923 J N PEASE PL, SUITE 204, CHARLOTTE, NC 28262-4513
(704) 503-3535
(704) 593-5555
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3660
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3660
NC PSYCHOLOGY BOARD LICENSE NUMBER
NC
Enumeration date
08/05/2012
Last updated
08/05/2012
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