Edwards, Timothy Ray

Edwards, Timothy Ray is an sole proprietor health care provider with primary practice located at 3898 Via Poinciana Drive Suite 13, Lake Worth FL 33467-2951. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Edwards, Timothy Ray can be contacted via phone (561) 967-2566.

Contact Information

Primary practice address
3898 Via Poinciana Drive Suite 13 Lake Worth FL 33467-2951
Phone: (561) 967-2566
Fax: (561) 967-4556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH0002581 Florida

Profile Details

NPI number 1487929352
LBN Legal business name Edwards, Timothy Ray
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2012
Last updated Mar 12th, 2012 - about 14 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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