MEDICARE: SARA CHRISTINE WARD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TH0004X	Health Psychologist	6352000818	MI

General Provider Information

NPI Number	:	1033819412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA CHRISTINE WARD

Provider Business Mailing Address
First Line	:	9788 US HIGHWAY 31
Second Line	:
City	:	BERRIEN SPRINGS
State	:	MI
Zip	:	49103-9538
Country	:	US
Telephone Number	:	970-581-0834
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 GENESYS PARKWAY
Second Line	:	MEDICAL EDUCATION-PSYCHOLOGY
City	:	GRAND BLANC
State	:	MI
Zip	:	48439
Country	:	US
Telephone Number	:	810-606-6954
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2023
Last Update Date	:	03/06/2023

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Directions to “ SARA CHRISTINE WARD ” Practice Location

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