1750494092 NPI number — DR. CAROLINE EDWARDS PSYD, LMFT, CAP

Table of content: DR. CAROLINE EDWARDS PSYD, LMFT, CAP (NPI 1750494092)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750494092 NPI number — DR. CAROLINE EDWARDS PSYD, LMFT, CAP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
EDWARDS
Provider First Name:
CAROLINE
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PSYD, LMFT, CAP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750494092
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/08/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8005 SE DOUBLE TREE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOBE SOUND
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33455-8127
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
772-219-8001
Provider Business Mailing Address Fax Number:
772-219-8001

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
819 SE FEDERAL HWY
Provider Second Line Business Practice Location Address:
SUITE 200-B
Provider Business Practice Location Address City Name:
STUART
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34994-2952
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
772-219-9566
Provider Business Practice Location Address Fax Number:
772-219-8001
Provider Enumeration Date:
08/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  MT 1694 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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