Lee Thomas Edwards PH.D.

NPI 1083621874 - Psychologist - 103TC1900X

NPI Details
NPI 1083621874
Gender Male
Enumeration Date 08/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
4103 MARATHON BLVD
100B
AUSTIN TX, 78756-3719, US
Phone (512) 458-9787
Fax (512) 458-8752
Business Location
5213 LERALYNN ST
AUSTIN TX, 78751-1915, US
Phone (512) 467-0923
Fax
Toxanomy
Taxonomy Code 103TC1900X
License State Texas
License Number 31266
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According to our database, Dr. Lee Thomas Edwards PH.D. NPI is 1083621874, taxonomy code is 103TC1900X and license number is 31266, license state is located at Texas. Lee Thomas Edwards PH.D. physically located at 4103 Marathon Blvd, Austin TX, 78756-3719. NPI Number Lee Thomas Edwards PH.D. has the Individual type.

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1083621874 NPI number is provided on an as is basis without warranty of any kind. 1083621874 is maintained by the National Plan & Provider Enumeration System. The contents of Lee Thomas Edwards PH.D. are for informational purposes only.