MEDICARE: DR. KATHLEEN WARD PH.D.

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	103TC0700X	Clinical Psychologist	924	OK

General Provider Information

NPI Number	:	1033221783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHLEEN WARD PH.D.

Provider Business Mailing Address
First Line	:	609 S 2ND ST
Second Line	:
City	:	MCALESTER
State	:	OK
Zip	:	74501-5813
Country	:	US
Telephone Number	:	918-302-0203
Fax Number	:

Provider Business Practice Location Address
First Line	:	609 S 2ND ST
Second Line	:
City	:	MCALESTER
State	:	OK
Zip	:	74501-5813
Country	:	US
Telephone Number	:	918-302-0203
Fax Number	:

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	02/25/2026

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