Male or Other

Stephen T. Edwards LMFT, BCPC

Marriage & Family Therapist in Brandon, FL(View on Map)

Full Name

Stephen Thomas Edwards LMFT, BCPC

NPI Number

1700909587

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/09/2007

Specialties

(Taxonomies)

Code

106H00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

MT1552

Contact
Information

Purpose

Mailing
Location

Address

306 W SADIE ST
306 W SADIE ST

City

Brandon
Brandon

State

FL
FL

Postal Code

33510-4440
33510-4440

Country

US
US

Telephone Number

(813) 949-9594
(813) 677-4040

Identifiers

Identifier

768633100

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/28/2021

Provider Address

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