Active NPI
Lawrence Alfred Edwards, PH.D.
- Clinical Psychologist
- Gig Harbor, WA
National Provider Identifier
1467426700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY60152178
- Practice address
- 6218 65TH Ave NW
Gig Harbor, WA 98335-6690 - Phone
- (253) 432-4208
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY60152178 | WA | Primary |
Addresses
Primary practice location
6218 65TH Ave NW
Gig Harbor, WA 98335-6690
Mailing address
6218 65TH Ave NW
Gig Harbor, WA 98335-6690
Phone (253) 432-4208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY60152178 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465430400000",
"number": "1467426700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6218 65TH AVE NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983356690",
"telephone_number": "253-432-4208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6218 65TH AVE NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983356690",
"telephone_number": "253-432-4208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "LAWRENCE",
"middle_name": "ALFRED",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2016-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY60152178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.