institution
Carol B Edwards, Psyd, Hspp, Clinical Psychologist, Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Merrillville, Indiana
NPI 1801040530

Carol B Edwards, Psyd, Hspp, Clinical Psychologist, Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Valparaiso, IN and is specialized in Mental Health (Including Community Mental Health Center). Carol B Edwards, Psyd, Hspp, Clinical Psychologist, Llc practices in Merrillville, IN. The NPI Number for Carol B Edwards, Psyd, Hspp, Clinical Psychologist, Llc is 1801040530 and holds a License No. 20041414A (Indiana).

The current practice location address for Carol B Edwards, Psyd, Hspp, Clinical Psychologist, Llc is 9111 Broadway, Merrillville, IN and can be reached out via phone at 219-791-1006 and via fax at 219-791-1007. You can also correspond with Carol B Edwards, Psyd, Hspp, Clinical Psychologist, Llc through the mailing address at PO BOX 1156, VALPARAISO, IN - 46384-1156 (mailing address contact number: 219-791-1006).

Location: 9111 Broadway, Merrillville, IN, 46384-1156
institution
Provider Profile Details
NPI Number
1801040530
Provider Name
Carol B Edwards, Psyd, Hspp, Clinical Psychologist, Llc
Credential
Provider Entity Type
Organization
Address
9111 Broadway, Merrillville, IN, 46384-1156
Phone Number
219-791-1006
Fax Number
219-791-1007
Provider Enumeration Date
11/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11388127 01 IN CAQH
200337570A 05 IN
1639142516 01 IN NPI INDIVIDUAL PROVIDER
institution
Provider Business Practice Location Address Details
Address
9111 Broadway
City
State
Zip
46410-8122
Phone Number
219-791-1006
Fax Number
219-791-1007
person
Provider Business Mailing Address Details
Address
9111 Broadway
City
State
Zip
46410-8122
Phone Number
219-791-1006
Fax Number
219-791-1007
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
20041414A (Indiana)
Definition
Definition to come...
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