Individual
DR. JOHN ELLIOTT WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
695 PRESIDENT PL STE 202, SMYRNA, TN 37167-5681
(615) 269-4990
(615) 953-9862
Mailing address
695 PRESIDENT PL STE 202, SMYRNA, TN 37167-5681
(615) 269-4990
(615) 953-9862
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
P248
TN
103TC0700X
Clinical Psychologist
P248
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3680528
—
TN
01
—
4123821
BCBS
TN
Enumeration date
03/21/2007
Last updated
06/03/2015
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