Individual
DR. ALLIE W. EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1970 BROADWAY, SUITE 835, OAKLAND, CA 94612
(510) 409-9238
(510) 727-9761
Mailing address
1970 BROADWAY, SUITE 835, OAKLAND, CA 94612
(510) 409-9238
(510) 727-9761
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 18234
CA
Other
Enumeration date
06/01/2007
Last updated
09/29/2015
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