| 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. |
|---|---|
| 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 |
Tara A Smith, ED.S, LPC, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 501 Se 4th St Ste C, Moore, OK 73160 Phone: 405-653-8012 Fax: 877-715-9937 | |
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. Deni Foughty, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1201 Magnolia Ct Ste 117, Moore, OK 73160 Phone: 405-221-9573 Fax: 866-394-8572 |