Individual
ELISE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
5974 US ROUTE 60 E, BARBOURSVILLE, WV 25504-1035
(304) 736-6677
Mailing address
5974 US ROUTE 60 E, BARBOURSVILLE, WV 25504-1035
(304) 736-6677
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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