Provider Demographics
NPI:1710656137
Name:DR CATHERINE J WARD PSYD
Entity Type:Organization
Organization Name:DR CATHERINE J WARD PSYD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:JUNE
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:833-933-2115
Mailing Address - Street 1:1549 N VULCAN AVE SPC 1
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-1547
Mailing Address - Country:US
Mailing Address - Phone:833-988-2115
Mailing Address - Fax:833-997-0837
Practice Address - Street 1:2774 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-1769
Practice Address - Country:US
Practice Address - Phone:833-933-2115
Practice Address - Fax:833-997-0837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)