Virginia Ann Edwards, PH.D.

Individual provider Active NPI Psychologist · Angier, NC

NPI 1013379817 · NPPES record last updated Mar 22, 2016

Key facts

NPI
1013379817
Entity type
Individual (NPI type 1)
Primary specialty
Psychologist 103T00000X
License
2689 (NC)
Practice address
9720 Bitter Melon Dr
Angier, NC 27501-5907
Phone
(919) 672-7214
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2689NCMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2689 NC Yes

Addresses

Primary practice location

9720 Bitter Melon Dr
Angier, NC 27501-5907

Mailing address

9720 Bitter Melon Dr
Angier, NC 27501-5907
Phone (919) 672-7214

Other providers in Angier, NC

All providers in Angier, NC · Psychologist in North Carolina

Sources for this page

Verify at the official NPI Registry.