| Rachel Ward Licensed Clinical Psychologist Pc | |
|
68 Barony Ln Hilton Head SC 29928-5500 | |
| (815) 354-7527 | |
| (833) 901-2941 |
| Full Name | Rachel Ward Licensed Clinical Psychologist Pc |
|---|---|
| Speciality | Psychologist |
| Location | 68 Barony Ln, Hilton Head, South Carolina |
| Authorized Official Name and Position | Rachel Mary Ward (PRESIDENT) |
| Authorized Official Contact | 8153547527 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel Ward Licensed Clinical Psychologist Pc 68 Barony Ln Hilton Head SC 29928-5500 Ph: (815) 354-7527 | Rachel Ward Licensed Clinical Psychologist Pc 68 Barony Ln Hilton Head SC 29928-5500 Ph: (815) 354-7527 |
| NPI Number | 1215111802 |
|---|---|
| Provider Enumeration Date | 12/19/2007 |
| Last Update Date | 02/07/2022 |
| Certification Date | 02/07/2022 |
| Medicare PECOS PAC ID | 2860471778 |
|---|---|
| Medicare Enrollment ID | O20190510000929 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215111802 | NPI | - | NPPES |
| 10132114 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 71006591 (Illinois) | Secondary |
| Provider Name | Rachel Mary Ward |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053480871 PECOS PAC ID: 0143121764 Enrollment ID: I20190510001169 |
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