Deborah Ann Edds, PH.D.

Individual provider Active NPI Clinical Psychologist · Mt Washington, KY

NPI 1598023970 · NPPES record last updated Apr 24, 2012

Key facts

NPI
1598023970
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
1009 (KY)
Practice address
241 Kennedy Dr
Mt Washington, KY 40047-7750
Phone
(502) 445-0760
NPI assigned
Apr 24, 2012
Sex
Female
Sole proprietor
No

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

LicenseStateTypeSpecialty
1009KYMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1009 KY Yes

Addresses

Primary practice location

241 Kennedy Dr
Mt Washington, KY 40047-7750

Mailing address

241 Kennedy Dr
Mt Washington, KY 40047-7750
Phone (502) 445-0760

Other providers in Mt Washington, KY

All providers in Mt Washington, KY · Clinical Psychologist in Kentucky

Sources for this page

Verify at the official NPI Registry.