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Individual

WENDY WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
03-11P
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
150319719
AR
Enumeration date
10/13/2006
Last updated
04/21/2014
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