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Contact Information

LIESL J EDWARDS, PHD
1500 COOPER ST
FORT WORTH, TX76104
 Phone: 173-479-6018
 Fax: 817-347-9602
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LIESL J EDWARDS · (Female)

NPI Number 1700206489
Status Active
Credentials PHD
Entity Individual
Enumeration date 04/22/2014
Last updated 01/03/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • TX License # 38662
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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