Organization
LAKELAND PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSARIA M. WARD M. WARD PH.D. (OWNER)
(973) 962-4293
Entity
Organization
Contact information
Practice address
1141 A GREENWOOD LAKE TURNPIKE, RINGWOOD, NJ 07456
(973) 728-7474
Mailing address
349 LAKEVIEW AVENUE, RINGWOOD, NJ 07456-2118
(973) 962-4293
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00211100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5439246
AETNA
NJ
01
—
V83LLI
EMPIRE BLUE CROSS/SHIELD
NY
Enumeration date
09/27/2006
Last updated
08/22/2020
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