Robert Lynn Ford, MMFT, LMFT
Individual provider Active NPI Marriage & Family Therapist · Lyman, SC
NPI 1285905067 · NPPES record last updated Jan 25, 2012
Key facts
- NPI
- 1285905067
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 4527 (SC)
- Practice address
- 84 Groce Rd
Lyman, SC 29365-1761 - Phone
- (864) 439-7034
- NPI assigned
- Jan 25, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4527 | SC | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 4527 | SC | Yes |
Addresses
Primary practice location
84 Groce Rd
Lyman, SC 29365-1761
Mailing address
122 Knox Dr
Union, SC 29379-8926
Phone (864) 674-5591
Other providers in Lyman, SC
- Excel Nursing, LLC
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- J. Mereinda Fisher
- Shannon Fleming
- Foothills Family Dental PA
- Freds Stores of Tennessee Inc
- Yvette Gary
- Tina Louise Gaudiano
- Stephanie Suzanne Gillam
- Nickole Gilliam
All providers in Lyman, SC · Marriage & Family Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.