| NPI | 1508448010 |
|---|---|
| Former Legal Business Name | TRACEY WARD PHD LLC |
| Entity Type | Organization |
| Authorized Contact | TRACEY KATY WARD Psychologist/Clinical Director 346-298-1021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2021-04-23 |