Individual
DR. LASANDRA WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1650 W ROSEDALE ST STE 305, FORT WORTH, TX 76104-7400
(682) 841-1475
Mailing address
1650 W ROSEDALE ST STE 305, FORT WORTH, TX 76104-7400
(682) 841-1475
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
33996
TX
103TC0700X
Clinical Psychologist
Primary
33996
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33996
TEXAS LICENSE
TX
Enumeration date
12/27/2018
Last updated
12/27/2018
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