Individual
DR. JESSICA FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
401 MOYE BLVD, GREENVILLE, NC 27834-2885
(252) 830-2149
Mailing address
401 MOYE BLVD, GREENVILLE, NC 27834-2885
(252) 830-2149
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
103250
NC
103TC0700X
Clinical Psychologist
Primary
103250
NC
103TH0004X
Health Psychologist
103250
NC
103TH0100X
Health Service Psychologist
103250
NC
Other
Enumeration date
10/31/2019
Last updated
08/14/2020
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