Provider Demographics
NPI:1144697145
Name:EDWARDS, KAREEM (PSYD)
Entity type:Individual
Prefix:DR
First Name:KAREEM
Middle Name:
Last Name:EDWARDS
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2455 HOLLYWOOD BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-6605
Mailing Address - Country:US
Mailing Address - Phone:954-453-1101
Mailing Address - Fax:954-453-1102
Practice Address - Street 1:2455 HOLLYWOOD BLVD STE 208
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020
Practice Address - Country:US
Practice Address - Phone:954-453-1101
Practice Address - Fax:954-453-1102
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-25
Last Update Date:2018-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY9183103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical