Edwards, Christopher Arlen
Edwards, Christopher Arlen is an sole proprietor health care provider with primary practice located at 441 E Broad St Suite D, Cookeville TN 38501-3389. He recently has 4 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 / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Edwards, Christopher Arlen can be contacted via phone (931) 520-0535.Contact Information
Primary practice address
441 E Broad St Suite D
Cookeville TN 38501-3389
Phone: (931) 520-0535
Fax: (931) 520-0537
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | P2278 | Tennessee |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY-202526 | Idaho |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | P2278 | Tennessee |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | P2278 | Tennessee |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | P2278 | Tennessee |
Profile Details
| NPI number | 1346298866 |
|---|---|
| LBN Legal business name | Edwards, Christopher Arlen |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2006 |
| Last updated | Aug 15th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346298866 | NPPES |
| Tennessee | Other | 3133273 | BC/BS OF TENNESSEE |
| Tennessee | MEDICAID | 3981616 | BC/BS OF TENNESSEE |
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