MEDICARE: BINAL P WARD PSY.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619142858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BINAL P WARD PSY.D

Provider Business Mailing Address
First Line	:	2217 MATTHEWS TOWNSHIP PKWY STE D-249
Second Line	:
City	:	MATTHEWS
State	:	NC
Zip	:	28105-4815
Country	:	US
Telephone Number	:	703-825-3986
Fax Number	:

Provider Business Practice Location Address
First Line	:	1155 DRUMMOND LN
Second Line	:
City	:	STALLINGS
State	:	NC
Zip	:	28104-8041
Country	:	US
Telephone Number	:	704-576-9001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2008
Last Update Date	:	06/24/2022

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