Dr Thomas W Ford, PHD is a
Psychologist - Counseling based in La Fayette, Georgia. Dr Thomas W Ford is licensed to practice in Georgia (license number PSY002405) and his current practice location is
501 Mize Street, La Fayette, Georgia. He can be reached at his office (for appointments etc.) via phone at
(706) 638-5584.
NPI number for Dr Thomas W Ford is 1457417792 and his current mailing address is Po Box 1027, La Fayette, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457417792.
Healthcare Provider's Profile
| Full Name | Dr Thomas W Ford |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Counseling |
|---|
| Location | 501 Mize Street, La Fayette, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1457417792
- Provider Enumeration Date: 12/29/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Thomas W Ford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457417792 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC1900X | Psychologist - Counseling | PSY002405 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Thomas W Ford is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Thomas W Ford, PHD
Po Box 1027,
La Fayette, GA 30728-1027
Ph: (706) 638-5584 | Dr Thomas W Ford, PHD
501 Mize Street,
La Fayette, GA 30728-1027
Ph: (706) 638-5584 |
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