Individual
DR. YVETTE L. WARD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
90 HOPE DR, BLDG #6000, MOUNTAIN HOME A F B, ID 83648-1057
(208) 828-7580
(208) 828-7520
Mailing address
1414 W FRANKLIN ST, BOISE, ID 83702-5023
(208) 343-0647
(208) 395-1948
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-412
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0086224
BLUE SHIELD
ID
01
—
N5152
BLUE CROSS
ID
Enumeration date
01/17/2006
Last updated
07/08/2007
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