Basic Information
| Provider Information | |||||||||
| NPI: | 1427136878 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WARD | ||||||||
| FirstName: | DOLORES | ||||||||
| MiddleName: | P | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | M.S., L.P.T. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 OFFICE PARK STE 305 | ||||||||
| Address2: | 273 AZALEA ROAD | ||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 366091970 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2513432022 | ||||||||
| FaxNumber: | 2516610492 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 OFFICE PARK STE 305 | ||||||||
| Address2: | 273 AZALEA ROAD | ||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 366091970 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2513432022 | ||||||||
| FaxNumber: | 2516610492 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/02/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC1900X | 952 | AL | Y | Behavioral Health & Social Service Providers | Psychologist | Counseling |
No ID Information.