Individual
CRYSTAL L EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
480 ALTA RD, SAN DIEGO, CA 92179-0001
(619) 661-6500
Mailing address
480 ALTA RD, SAN DIEGO, CA 92179-0001
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
PSY31415
CA
Other
Enumeration date
05/22/2012
Last updated
04/27/2022
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