Healthcare Provider Details

I. General information

NPI: 1427136878
Provider Name (Legal Business Name): DOLORES P WARD M.S., L.P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 OFFICE PARK STE 305 273 AZALEA ROAD
MOBILE AL
36609-1970
US

IV. Provider business mailing address

1 OFFICE PARK STE 305 273 AZALEA ROAD
MOBILE AL
36609-1970
US

V. Phone/Fax

Practice location:
  • Phone: 251-343-2022
  • Fax: 251-661-0492
Mailing address:
  • Phone: 251-343-2022
  • Fax: 251-661-0492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number952
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: