Individual
DR. PENELOPE WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3415 WRIGHTSVILLE AVENUE, WILMINGTON, NC 28403-4117
(910) 200-2578
Mailing address
3415 WRIGHTSVILLE AVENUE, WILMINGTON, NC 28403-4117
(910) 200-2578
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
014585
NY
103TC0700X
Clinical Psychologist
03883
MD
103TC0700X
Clinical Psychologist
Primary
3073
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046MY
BCBS
NC
01
—
214440330
UBH
NC
01
—
2160562
CIGNA
NC
01
—
331904
TRICARE
NC
01
—
560652-000
MAGELLAN
NC
05
—
6000588
—
NC
01
—
E0787
MEDCOST
NC
Enumeration date
11/15/2005
Last updated
01/29/2009
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