| Doctor Name: | WENDY WARD |
| NPI Number: | 1023285731 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | LSW4777 |
| Business Practice Address: | 5627 Getwell Rd Building B, Suite 4 Southaven, MS - 386727313 |
| Business Phone Number: | 6623492979 |
| Business Fax Number: | 6623492978 |
| Mailing Address: | 5627 Getwell Rd, Building B, Suite 4 SOUTHAVEN |
| State: | MS |
| Postal Code: | 386727313 |
| Phone Number: | 6623492979 |
| Fax Number: | 6623492978 |
| NPI Enumeration Date: | 05/12/2008 |
| NPI Last Update Date: | 07/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LSW4777 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |