Individual
GWENYTH HUGHES EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
24 SALT POND ROAD, SUITE D-4, WAKEFIELD, RI 02879
(401) 789-3694
(401) 789-3748
Mailing address
248 LAUREL LANE, WEST KINGSTON, RI 02892
(401) 792-8326
(401) 789-3748
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
762
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239118
RI BLUE CROSS
RI
01
—
409076
RI BLUE CHIP
RI
01
—
6179269
UHPNE
RI
05
—
GE21595
—
RI
Enumeration date
07/31/2006
Last updated
07/08/2007
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