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:
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Health care specialties

SpecialtyCodeLicense #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 5 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 1346298866 NPPES
Tennessee Other 3133273 BC/BS OF TENNESSEE
Tennessee MEDICAID 3981616 BC/BS OF TENNESSEE

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