Individual
BRIAN WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PPS SCHOOL PSYCH
Contact information
Practice address
264 N WESTWOOD ST, PORTERVILLE, CA 93257-2542
(559) 333-0193
Mailing address
264 N WESTWOOD ST, PORTERVILLE, CA 93257-2542
(559) 333-0193
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
150083501
CA
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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