MEDICARE: DR. LAURA LEIGH EDWARDS PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1336812452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURA LEIGH EDWARDS PSYD

Provider Business Mailing Address
First Line	:	2101 S ARLINGTON HEIGHTS RD STE 185
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-4172
Country	:	US
Telephone Number	:	847-666-5339
Fax Number	:

Provider Business Practice Location Address
First Line	:	2101 S ARLINGTON HEIGHTS RD STE 185
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-4172
Country	:	US
Telephone Number	:	847-666-5339
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2021
Last Update Date	:	06/03/2026

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