Individual
TERESA ANN EDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
1100 WALNUT ST, OWENSBORO, KY 42301-2956
(270) 689-6800
Mailing address
202 7TH ST, CLOVERPORT, KY 40111-1118
(270) 617-0513
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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