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Individual

MARTIN WARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
13471 W CORNERSTONE BLVD, GOODYEAR, AZ 85395-2713
(877) 809-5092
(480) 718-9477
Mailing address
3033 N CENTRAL AVE STE 145, PHOENIX, AZ 85012-2808
(623) 583-3001
(623) 974-6721

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-004627
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
456288
AZ
Enumeration date
03/27/2006
Last updated
04/27/2021
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