Organization · Type 2 NPI

Bruce J Edson MD PA

Prescribing (Medical) Psychologist · Tampa, FL

NPI number 1922346030 Active

Practice location

16554 N Dale Mabry Hwy
Tampa, FL 33618-1325

Fax (813) 715-9802

Specialties and licenses

TaxonomyCodeLicense
Prescribing (Medical) Psychologist Primary 103TP0016XME0055695 (FL)

Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…

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About NPI 1922346030

Bruce J Edson MD PA's National Provider Identifier is 1922346030, issued on Jan 24, 2013. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Tampa, FL. The record was last updated on Jan 24, 2013.