Organization
EMPACT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENSEL OWEN WARD JR. PH.D. (VICE PRESIDENT)
(937) 390-7773
Entity
Organization
Contact information
Practice address
2207 OLYMPIC ST, SPRINGFIELD, OH 45503-2736
(937) 390-7773
(390) 390-8765
Mailing address
2207 OLYMPIC ST, SPRINGFIELD, OH 45503-2736
(937) 390-7773
(390) 390-8765
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4444
OH
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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