Kelsey Rae Edwards, PSYD | |
2799 W Grand Blvd, Detroit, MI 48202-2689 | |
(800) 678-1861 | |
Not Available |
Full Name | Kelsey Rae Edwards |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 2799 W Grand Blvd, Detroit, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932774676 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | B1-0011353 (Delaware) | Primary |
Entity Name | Christiana Care Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770568107 PECOS PAC ID: 9739097569 Enrollment ID: O20031201000477 |
Mailing Address | Practice Location Address |
---|---|
Kelsey Rae Edwards, PSYD 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: (800) 999-5829 | Kelsey Rae Edwards, PSYD 2799 W Grand Blvd, Detroit, MI 48202-2689 Ph: (800) 678-1861 |
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Melissa Moody, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 707 W Milwaukee St, Detroit, MI 48202 Phone: 313-410-4992 | |
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