Keith John Edwards in Hacienda Heights - Clinical
Keith John Edwards - NPI 1164636056
Keith John Edwards is a Clinical in Hacienda Heights, California. Keith John Edwards practices all healthcare services and medical treatments related to Clinical. The NPI Number for Keith John Edwards is 1164636056. The last update date is 2007-07-08.
Keith John Edwards's current location address is 3005 Gotera Dr, Hacienda Heights, California. You can contact this provider via phone number 6269687075 and fax number 5629034864. The mailing address for Keith John Edwards is 3005 Gotera Dr, Hacienda Heights, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith John Edwards |
|---|---|
| Address | 3005 Gotera Dr, Hacienda Heights, California |
| Phone Number | 6269687075 |
| Fax Number | 5629034864 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1164636056 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3005 Gotera Dr |
|---|---|
| City | Hacienda Heights |
| State | California (CA) |
| Post Code | 917456613 |
| Phone Number | 6269687075 |
| Fax Number | 5629034864 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY10082 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the unique identifier code issued to Keith John Edwards by the Centers for Medicare & Medicaid Services (CMS)?
The Keith John Edwards has been assigned the NPI (National Provider Identifier) 1164636056. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Keith John Edwards's facilities are situated?
The facilities of Keith John Edwards are physically located at the following address: 3005 Gotera Dr, Hacienda Heights, CA, 917456613.
What is Keith John Edwards's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Keith John Edwards is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164636056 to Keith John Edwards?
The Centers for Medicare & Medicaid Services originally issued the 1164636056 to Keith John Edwards on 2007-05-09.
When was the information regarding Keith John Edwards, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Keith John Edwards, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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