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Contact Information

JEANETTE EDWARDS
4950 MCNUTT RD
SANTA TERESA, NM88063
 Phone: 575-882-6200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JEANETTE EDWARDS · (Female)

NPI # 1447490248
Status Active
Credentials
Entity Individual
Enumeration date 03/06/2009
Last updated 03/06/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 312335
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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