Individual provider · Type 1 NPI
Timothy Ray Edwards, PhD
Mental Health Counselor · Lake Worth, FL
NPI number
1487929352
Active
Practice location
3898 Via Poinciana Drive, Suite 13
Lake Worth, FL 33467-2951
Fax (561) 967-4556
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH0002581 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1487929352
Timothy Ray Edwards, PhD's National Provider Identifier is 1487929352, issued on Mar 12, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lake Worth, FL. The record was last updated on Mar 12, 2012.