Provider Demographics
NPI:1043502966
Name:EDNEY, STEVEN X (PSY D)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:X
Last Name:EDNEY
Suffix:
Gender:M
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 SW CALIFORNIA AVE
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-2918
Mailing Address - Country:US
Mailing Address - Phone:772-223-9988
Mailing Address - Fax:
Practice Address - Street 1:430 SW CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2918
Practice Address - Country:US
Practice Address - Phone:772-223-9988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-11
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY-5416103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist