Edward Lee Santos, PH.D.
Individual provider Active NPI Marriage & Family Therapist · Hagatna, GU
NPI 1407297286 · NPPES record last updated Jul 9, 2013
Key facts
- NPI
- 1407297286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- IMF-85 (GU)
- Practice address
- 414 W Soledad Ave
Sutie 702
Hagatna, GU 96910-5061 - Phone
- (671) 483-1017
- Fax
- (671) 477-1077
- NPI assigned
- Jul 9, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF-85 | GU | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF-85 | GU | Yes |
Addresses
Primary practice location
414 W Soledad Ave
Sutie 702
Hagatna, GU 96910-5061
Mailing address
414 W Soledad Ave
Sutie 702
Hagatna, GU 96910-5061
Phone (671) 483-1017
Other providers in Hagatna, GU
- Victor M Perez
- Juan Rapadas
- Valerie K Reyes
- Amy C Romero
- Rsa - Guam, LLC
- Rosae Camarin Shandor
- Evelyn H. Suda
- Lorraine S. Sunga
- Rayner D. Terlaje
- The Pediatric Dental Center
All providers in Hagatna, GU · Marriage & Family Therapist in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.