MEDICARE: DR. HORACE FRANKLIN EDWARDS PH.D.

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	P986	TN

General Provider Information

NPI Number	:	1851329742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HORACE FRANKLIN EDWARDS PH.D.

Provider Business Mailing Address
First Line	:	1003 CAIRO RD
Second Line	:
City	:	GALLATIN
State	:	TN
Zip	:	37066-4913
Country	:	US
Telephone Number	:	615-743-7692
Fax Number	:	615-253-2320

Provider Business Practice Location Address
First Line	:	5364 VILLAGE WAY
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-6234
Country	:	US
Telephone Number	:	615-400-8922
Fax Number	:

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

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	07/08/2007

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