Individual
DEIDRE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3411 WAYNE AVE, BRONX, NY 10467-2509
(718) 920-2088
Mailing address
3411 WAYNE AVE, BRONX, NY 10467-2509
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
68 020999
NY
Other
Enumeration date
12/02/2014
Last updated
03/16/2015
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