Individual
CARA F O'CONNELL-EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
416 PASEO REYES DR, ST AUGUSTINE, FL 32095-8558
(919) 699-2077
Mailing address
158 CUMBERLAND ISLAND CIR, PONTE VEDRA, FL 32081-0721
(919) 699-2077
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
12218
FL
103TC0700X
Clinical Psychologist
3449
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047HG
BCBS
NC
05
—
6001030
—
NC
Enumeration date
08/28/2007
Last updated
07/01/2026
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