Edmunds, Gloria Jean

Edmunds, Gloria Jean is an sole proprietor health care provider with primary practice located at 2823 Sterling Park Dr , Raleigh NC 27603-5805. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Adult Development & Aging. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Edmunds, Gloria Jean can be contacted via phone (919) 637-7573.

Contact Information

Primary practice address
2823 Sterling Park Dr Raleigh NC 27603-5805
Phone: (919) 637-7573
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1020 North Carolina
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1020 North Carolina
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 1020 North Carolina

Profile Details

NPI number 1275748840
LBN Legal business name Edmunds, Gloria Jean
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275748840 NPPES
North Carolina Other 1020 PSYCHOLOGIST

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