Provider Demographics
NPI:1619142858
Name:WARD, BINAL P (PSYD)
Entity Type:Individual
Prefix:
First Name:BINAL
Middle Name:P
Last Name:WARD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2217 MATTHEWS TOWNSHIP PKWY STE D-249
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-4815
Mailing Address - Country:US
Mailing Address - Phone:703-825-3986
Mailing Address - Fax:
Practice Address - Street 1:1155 DRUMMOND LN
Practice Address - Street 2:
Practice Address - City:STALLINGS
Practice Address - State:NC
Practice Address - Zip Code:28104-8041
Practice Address - Country:US
Practice Address - Phone:704-576-9001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD58956180Medicaid
MD58956180Medicaid