Healthcare Provider Details

I. General information

NPI: 1952608093
Provider Name (Legal Business Name): CATHERINE J WARD PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/25/2011
Last Update Date: 08/17/2021
Certification Date: 08/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2774 JEFFERSON ST
CARLSBAD CA
92008-1769
US

IV. Provider business mailing address

1549 N VULCAN AVE SPC 1
ENCINITAS CA
92024-1547
US

V. Phone/Fax

Practice location:
  • Phone: 540-809-5691
  • Fax:
Mailing address:
  • Phone: 540-809-5691
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number30926
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number30926
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number30926
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License NumberPSY30926
License Number StateCA
# 5
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPSY30926
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number30926
License Number StateCA
# 7
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number30926
License Number StateCA
# 8
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number30926
License Number StateCA
# 9
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number30926
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: