Penelope Ward is a Clinical in Wilmington, North Carolina. Penelope Ward practices all healthcare services and medical treatments related to Clinical. The NPI Number for Penelope Ward is 1194707364. The last update date is 2009-01-29.
Penelope Ward's current location address is 3415 Wrightsville Avenue, Wilmington, North Carolina. You can contact this provider via phone number 9102002578. The mailing address for Penelope Ward is 3415 Wrightsville Avenue, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Penelope Ward |
|---|---|
| Address | 3415 Wrightsville Avenue, Wilmington, North Carolina |
| Phone Number | 9102002578 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1194707364 |
|---|---|
| Provider Enumeration Date | 2005-11-15 |
| Last Updated Date | 2009-01-29 |
Provider Mailing Address Detail
| Address | 3415 Wrightsville Avenue |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284034117 |
| Phone Number | 9102002578 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 3073 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6000588 | NC | -- | |
| E0787 | NC | MEDCOST | |
| 214440330 | NC | UBH | |
| 2160562 | NC | CIGNA | |
| 560652-000 | NC | MAGELLAN | |
| 046MY | NC | BCBS | |
| 331904 | NC | TRICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Penelope Ward by the Centers for Medicare & Medicaid Services?
The Penelope Ward has been issued the NPI (National Provider Identifier) 1194707364 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Penelope Ward?
The Penelope Ward is physically situated at 3415 Wrightsville Avenue, in the city of Wilmington, state of NC, with the postal code 284034117.
What is the Penelope Ward's area of specialization and corresponding taxonomy classification?
The Penelope Ward's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did Penelope Ward receive its 1194707364 assignment from the Centers for Medicare & Medicaid Services?
The Penelope Ward was assigned its 1194707364 on 2005-11-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Penelope Ward's information last updated?
The Penelope Ward's information was last updated on 2009-01-29.