Individual
WESLEY H WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., HSPP
Contact information
Practice address
3660 ROME DR, LAFAYETTE, IN 47905-4488
(765) 446-9394
(765) 447-8875
Mailing address
3124 DOVER LN, LAFAYETTE, IN 47909-6752
(765) 742-1816
(765) 742-2557
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040478A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100117360A
—
IN
Enumeration date
10/24/2006
Last updated
07/26/2010
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