MEDICARE: MR. WILLIAM E. WARD III LPC

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	101YP2500X	Professional Counselor	37PC00363200	NJ

General Provider Information

NPI Number	:	1619146685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM E. WARD III LPC

Provider Business Mailing Address
First Line	:	139 GROVE AVE
Second Line	:
City	:	VERONA
State	:	NJ
Zip	:	07044-1621
Country	:	US
Telephone Number	:	917-837-5401
Fax Number	:

Provider Business Practice Location Address
First Line	:	139 GROVE AVE
Second Line	:
City	:	VERONA
State	:	NJ
Zip	:	07044-1621
Country	:	US
Telephone Number	:	917-837-5401
Fax Number	:

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

Provider Enumeration Date	:	02/25/2008
Last Update Date	:	02/25/2008

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