Edison, Deidra

Edison, Deidra is an sole proprietor health care provider with primary practice located at 2801 C Ct , Ashtabula OH 44004-4577. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Edison, Deidra can be contacted via phone (440) 998-0722.

Contact Information

Primary practice address
2801 C Ct Ashtabula OH 44004-4577
Phone: (440) 998-0722
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X OH3127884 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1861812034
LBN Legal business name Edison, Deidra
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2014
Last updated Mar 5th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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