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Contact Information

TIFFANY EDWARDS, PHD
900 N KINGSBURY ST STE RW-6
CHICAGO, IL60610
 Phone: 312-222-8230
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TIFFANY EDWARDS · (Female)

NPI # 1023519493
Status Active
Credentials PHD
Entity Individual
Enumeration date 02/21/2018
Last updated 04/15/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 071009309
  • NY License # 017362
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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