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General NPI Number Information
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NPI Number | 1982214326
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Entity Type | Individual
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Provider Name | CATHERINE LOUISE FORD PSYD
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Gender | Female
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Dates
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Enumeration Date | 07/31/2020
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 1001 CONNECTICUT AVE NW STE 1235
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City | WASHINGTON
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State | DC
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Zip | 20036-5576
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Country | US
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Telephone | 240-481-8231
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Fax |
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Provider Business Mailing Address
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Address Line | 10222 ROLLING GREEN WAY
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City | FT WASHINGTON
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State | MD
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Zip | 20744-2589
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Country | US
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Telephone | 240-481-8231
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Fax | 301-248-6838
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 00019
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | PSYA00019
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSYA00019
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | A0709
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License Number State | MD
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