Doctor Name: | JAMES ROBERT WARD |
NPI Number: | 1457695538 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.P.C. |
License Number: | P0702011 |
Business Practice Address: | 2400 Poplar Ave Memphis, TN - 381123213 |
Business Phone Number: | 9012062222 |
Business Fax Number: | 9012062223 |
Mailing Address: | 10412 Twisting Pine Ln, LAKELAND |
State: | TN |
Postal Code: | 380024685 |
Phone Number: | 9012755797 |
Fax Number: | |
NPI Enumeration Date: | 11/15/2012 |
NPI Last Update Date: | 08/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | P0702011 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |