Provider Demographics
NPI:1386829075
Name:EDWARDS, KAREN S (PH D)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:S
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 WESTCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02458-2519
Mailing Address - Country:US
Mailing Address - Phone:617-332-4967
Mailing Address - Fax:617-795-1812
Practice Address - Street 1:51 WESTCHESTER RD
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02458-2519
Practice Address - Country:US
Practice Address - Phone:617-332-4967
Practice Address - Fax:617-795-1812
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-01
Last Update Date:2008-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA726106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist