Provider Demographics
NPI:1740337872
Name:EDWARDS, TERRY (EDD)
Entity type:Individual
Prefix:DR
First Name:TERRY
Middle Name:
Last Name:EDWARDS
Suffix:
Gender:
Credentials:EDD
Other - Prefix:DR
Other - First Name:TERRY
Other - Middle Name:LEE
Other - Last Name:EDWARDS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:EDD
Mailing Address - Street 1:868 FONNIC DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-1308
Mailing Address - Country:US
Mailing Address - Phone:615-791-3449
Mailing Address - Fax:615-226-1949
Practice Address - Street 1:868 FONNIC DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-1308
Practice Address - Country:US
Practice Address - Phone:615-791-3449
Practice Address - Fax:615-226-1949
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2032103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist