Individual
DR. CLAY HEROLD WARD
Active
Individual
DR. CLAY HEROLD WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D. CLINICAL PSYCH
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY239
ID
103T00000X
Psychologist
PSY-239
ID
103T00000X
Psychologist
PSY239
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00001001591
REGENCE BLUE SHIELD
ID
01
—
1598959322
GROUP NPI
—
01
—
N2399
BLUE CROSS
ID
Enumeration date
06/28/2006
Last updated
11/13/2012
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