Individual
DR. RACHAEL RENINA HUNTER EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
Mailing address
4212 N 16TH ST BLDG 5, PHOENIX, AZ 85016-5319
(602) 263-1200
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY-004969
AZ
103TC0700X
Clinical Psychologist
Primary
PSY-004969
AZ
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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