Carol T. Edwards, PH. D.
Individual provider Active NPI Clinical Psychologist · Palos Verdes Estates, CA
NPI 1598801375 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1598801375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY 9485 (CA)
- Practice address
- 3708 Via la Selva
Palos Verdes Estates, CA 90274-1118 - Phone
- (310) 720-8933
- NPI assigned
- Jan 29, 2007
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 9485 | CA | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 9485 | CA | Yes |
Addresses
Primary practice location
3708 Via la Selva
Palos Verdes Estates, CA 90274-1118
Mailing address
3708 Via la Selva
Palos Verdes Estates, CA 90274-1118
Phone (310) 375-6791
Other providers in Palos Verdes Estates, CA
- Ryan Conahan
- Michelle Spencer Dahle
- Carly Patricia Diller
- Jill Georgeann Dorn
- Seema Ramesh Doshi
- Kevin M. Ehtessabian
- Ryan Ali Ehtessabian
- Patricia Alice Elder
- Penny Lew Fevergeon
- Fresch Services LLC.
All providers in Palos Verdes Estates, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.