Individual
SMITA D WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., HSPP
Contact information
Practice address
3660 ROME DR, LAFAYETTE, IN 47905-4488
(765) 446-9394
(765) 447-8875
Mailing address
1808 WALLHAVEN DR, APT C, LAFAYETTE, IN 47909-3941
(765) 446-9394
(765) 447-8875
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041163A
IN
Other
Enumeration date
06/29/2006
Last updated
05/07/2009
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