Provider Demographics
NPI:1851329742
Name:EDWARDS, HORACE FRANKLIN (PHD)
Entity Type:Individual
Prefix:DR
First Name:HORACE
Middle Name:FRANKLIN
Last Name:EDWARDS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 CAIRO RD
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-4913
Mailing Address - Country:US
Mailing Address - Phone:615-743-7692
Mailing Address - Fax:615-253-2320
Practice Address - Street 1:5364 VILLAGE WAY
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-6234
Practice Address - Country:US
Practice Address - Phone:615-400-8922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP986103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3687053Medicare ID - Type UnspecifiedPSYCHOLOGY