Provider Demographics
NPI:1902572167
Name:DR CATHERINE J WARD PSYD
Entity Type:Organization
Organization Name:DR CATHERINE J WARD PSYD
Other - Org Name:WEST COAST NEUROPSYCHOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY / PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:J
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:619-293-3994
Mailing Address - Street 1:3200 4TH AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-5716
Mailing Address - Country:US
Mailing Address - Phone:619-293-3994
Mailing Address - Fax:619-260-1048
Practice Address - Street 1:3200 4TH AVE STE 100
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-5716
Practice Address - Country:US
Practice Address - Phone:619-293-3994
Practice Address - Fax:619-260-1048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-18
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1952608093OtherNPI
CAPSY30926OtherSTATE LICENSE