| Organization Name: | KATHLEEN WARD, PHD, PC |
| NPI Number: | 1053597377 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHLEEN WARD (CEO) |
| Mailing Address: | 609 S 2nd St Mcalester |
| State: | OK US |
| Postal Code: | 745015813 |
| Phone Number: | 9183020203 |
| Fax Number: | 9184237002 |
| NPI Enumeration Date: | 01/16/2008 |
| NPI Last Update Date: | 01/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 924 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |