Provider Demographics
NPI:1902654940
Name:JOSHUA FORD PSYD LLC
Entity Type:Organization
Organization Name:JOSHUA FORD PSYD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:J
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:808-341-1879
Mailing Address - Street 1:51-636 KAMEHAMEHA HWY APT 625
Mailing Address - Street 2:
Mailing Address - City:KAAAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96730-9828
Mailing Address - Country:US
Mailing Address - Phone:808-341-1879
Mailing Address - Fax:
Practice Address - Street 1:46-001 KAMEHAMEHA HWY STE 419A
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3749
Practice Address - Country:US
Practice Address - Phone:808-341-1879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty