Edwards, Dennis Wayne

Edwards, Dennis Wayne is an individual health care provider with primary practice located at 2201 Ferry St Heartland Clinic, Lafayette IN 47904-3047. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Edwards, Dennis Wayne can be contacted via phone (765) 446-9898.

Contact Information

Primary practice address
2201 Ferry St Heartland Clinic Lafayette IN 47904-3047
Phone: (765) 446-9898
Fax: (765) 446-9424
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 35001121A Indiana

Profile Details

NPI number 1023097508
LBN Legal business name Edwards, Dennis Wayne
Credentials PHD, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023097508 NPPES
Indiana Other 35001121A MFT LICENSE

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