Doctor Name: | JUDITH R WARD |
NPI Number: | 1578551974 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 0701001810 |
Business Practice Address: | 37649 Snickersville Tpke Purcellville, VA - 201325045 |
Business Phone Number: | 5403386692 |
Business Fax Number: | |
Mailing Address: | 37649 Snickersville Tpke, PURCELLVILLE |
State: | VA |
Postal Code: | 201325045 |
Phone Number: | 5403386692 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0701001810 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |