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Individual

CATHERINE ANNE FORD BARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
200 ENTERPRISE DR, VERONA, WI 53593-9124
(715) 212-4641
Mailing address
1716 HOYT ST, MADISON, WI 53726-4017
(715) 212-4641

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1921
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39129900
WI
Enumeration date
12/11/2006
Last updated
06/07/2021
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