| Doctor Name: | DR. YVETTE L. WARD |
| NPI Number: | 1346229432 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | PSY-412 |
| Business Practice Address: | 90 Hope Dr Bldg #6000 Mountain Home A F B, ID - 836481057 |
| Business Phone Number: | 2088287580 |
| Business Fax Number: | 2088287520 |
| Mailing Address: | 1414 W Franklin St, BOISE |
| State: | ID |
| Postal Code: | 837025023 |
| Phone Number: | 2083430647 |
| Fax Number: | 2083951948 |
| NPI Enumeration Date: | 01/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY-412 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |