Edwards, Dennis Wayne
Edwards, Dennis Wayne is an individual health care provider with primary practice located at 2201 Ferry St Heartland Clinic, Lafayette IN 47904-3047. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Edwards, Dennis Wayne can be contacted via phone (765) 446-9898.Contact Information
Primary practice address
2201 Ferry St Heartland Clinic
Lafayette IN 47904-3047
Phone: (765) 446-9898
Fax: (765) 446-9424
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 35001121A | Indiana |
Profile Details
| NPI number | 1023097508 |
|---|---|
| LBN Legal business name | Edwards, Dennis Wayne |
| Credentials | PHD, LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1023097508 | NPPES |
| Indiana | Other | 35001121A | MFT LICENSE |
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