Dr Dustin Gant Ward, PHD | |
1044 Sw 4th St, Moore, OK 73160-2405 | |
(405) 735-6333 | |
(405) 735-6629 |
Full Name | Dr Dustin Gant Ward |
---|---|
Gender | Male |
Speciality | Psychologist - Counseling |
Location | 1044 Sw 4th St, Moore, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922048479 | NPI | - | NPPES |
200075530 B | Medicaid | OK | |
200075530 C | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | 1011 (Oklahoma) | Primary |
Entity Name | Moore Counseling Center, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427140219 PECOS PAC ID: 9436151511 Enrollment ID: O20070201000506 |
Mailing Address | Practice Location Address |
---|---|
Dr Dustin Gant Ward, PHD 1044 Sw 4th St, Moore, OK 73160-2405 Ph: (405) 735-6333 | Dr Dustin Gant Ward, PHD 1044 Sw 4th St, Moore, OK 73160-2405 Ph: (405) 735-6333 |
Rachel Beth Kirkpatrick Smiley, T-LMLP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 604 S Classen Ave, Ste. A, Moore, OK 73160 Phone: 405-735-6333 Fax: 405-735-6629 | |
Dr. Stoni Fortney, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1040 Sw 4th St, Moore, OK 73160 Phone: 405-735-8478 | |
Dr. Dave Sanford Kerby, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1044 Sw 4th St, Moore, OK 73160 Phone: 405-735-6333 Fax: 405-735-6629 | |
Anna M Homen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1044 Sw 4th St, Moore, OK 73160 Phone: 405-735-6333 Fax: 405-735-6629 | |
Lindsey Bardwell, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1044 Sw 4th St, Moore, OK 73160 Phone: 405-735-6333 | |
Dr. Jennifer Morris Steber, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1040 Sw 4th St, Moore, OK 73160 Phone: 405-623-9493 Fax: 405-735-6699 | |
Miss Ebony Michelle Smith, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 912 Black Jack Ln, Moore, OK 73160 Phone: 405-406-6010 |