Edwards, Robert R

Edwards, Robert R is an sole proprietor health care provider with primary practice located at 75 Francis St , Boston MA 02115-6110. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Edwards, Robert R can be contacted via phone (617) 732-8218.

Contact Information

Primary practice address
75 Francis St Boston MA 02115-6110
Phone: (617) 732-8218
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 03942 Maryland
Behavioral Health & Social Service Providers / Clinical 103TC0700X 8832 Massachusetts

Profile Details

NPI number 1093762536
LBN Legal business name Edwards, Robert R
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2006
Last updated Apr 28th, 2015 - about 9 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 1093762536 NPPES
Maryland MEDICAID 403945900

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