Healthcare Provider Details

I. General information

NPI: 1114696705
Provider Name (Legal Business Name): DR CATHERINE J WARD PSYD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2021
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 4TH AVE STE 100
SAN DIEGO CA
92103-5716
US

IV. Provider business mailing address

509 LIVE OAK ST STE 1
ST AUGUSTINE FL
32084-4016
US

V. Phone/Fax

Practice location:
  • Phone: 619-293-3994
  • Fax:
Mailing address:
  • Phone: 540-809-5691
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. CATHERINE J WARD
Title or Position: NEUROPSYCHOLOGIST / PRESIDENT
Credential: PSYD
Phone: 619-293-3994