Edwards, Shenelle Alyse
Edwards, Shenelle Alyse is an sole proprietor health care provider with primary practice located at 4614 Country Club Rd , Winston Salem NC 27104-3520. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Edwards, Shenelle Alyse can be contacted via phone (336) 713-0700.Contact Information
Primary practice address
4614 Country Club Rd
Winston Salem NC 27104-3520
Phone: (336) 713-0700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 4489 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4498 | North Carolina |
Profile Details
| NPI number | 1932532553 |
|---|---|
| LBN Legal business name | Edwards, Shenelle Alyse |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2013 |
| Last updated | Aug 19th, 2013 - about 13 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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