Individual
JOSHUA JONATHAN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
919 LEHUA AVE, PEARL CITY, HI 96782-3328
(808) 453-1919
Mailing address
9340 NE 76TH ST, VANCOUVER, WA 98662-3721
(808) 236-2260
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-902
HI
Other
Enumeration date
06/23/2006
Last updated
07/08/2007
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