Individual
DR. JEREMIAH DANIEL FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1 PINCKNEY BLVD, BEAUFORT, SC 29902-6122
(843) 228-2201
Mailing address
1 PINCKNEY BLVD, BEAUFORT, SC 29902-6122
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
05083
MD
Other
Enumeration date
04/24/2013
Last updated
01/13/2026
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