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T EDWARDS AND ASSOCIATES PLLC NPI 1114201944


NPI Information

NPI: 1114201944
Provider Name: T EDWARDS AND ASSOCIATES, PLLC
Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
8394 SIX FORKS RD
STE 104
RALEIGH, NC
ZIP 27615
Phone: (919) 845-4550
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T EDWARDS AND ASSOCIATES, PLLC is a psychologist in Raleigh, NC. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. T EDWARDS AND ASSOCIATES, PLLC NPI is 1114201944. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

8394 SIX FORKS RD
STE 104
RALEIGH, NC
ZIP 27615-057
Phone: (919) 845-4550
Fax: (919) 845-2922

The provider's authorized official is Theresa Edwards .
The authorized official title is Owner and has the following contact phone number (919) 845-4550.

The enumeration date for this NPI number is 9/28/2011 and was last updated on 9/28/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC2200XPsychologistClinical Child & Adolescent1532NORTH CAROLINANo
2103TF0000XPsychologistFamily1532NORTH CAROLINANo
3103TS0200XPsychologistSchool1532NORTH CAROLINANo
4103T00000XPsychologist1532NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16000501MEDICAIDNORTH CAROLINA
21532OTHERNORTH CAROLINALICENSE #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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