Basic Information
| Provider Information | |||||||||
| NPI: | 1518929223 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DROHAN | ||||||||
| FirstName: | EDWARD | ||||||||
| MiddleName: | MORRIS | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | III | ||||||||
| Credential: | PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2618 RIVER DR | ||||||||
| Address2: | |||||||||
| City: | SAVANNAH | ||||||||
| State: | GA | ||||||||
| PostalCode: | 314042012 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9123502274 | ||||||||
| FaxNumber: | 9123505824 | ||||||||
| Practice Location | |||||||||
| Address1: | 5002 WATERS AVE | ||||||||
| Address2: | |||||||||
| City: | SAVANNAH | ||||||||
| State: | GA | ||||||||
| PostalCode: | 314046226 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9123502274 | ||||||||
| FaxNumber: | 9123505824 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/06/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 1287 | GA | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical | 103TC0700X | 1622 | DC | N | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.