Individual
DR. BEVERLY J FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1141 PACIFIC STREET, SUITE F, SAN LUIS OBISPO, CA 93402
(805) 542-0100
Mailing address
793-A E FOOTHILL BLVD, #115, SAN LUIS OBISPO, CA 93405-0115
(805) 542-0100
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY17089
CA
Other
Enumeration date
08/31/2006
Last updated
06/19/2008
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