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NPI Code Detail

MEDICARE: TERESA M WARD MA LMHP

MEDICARE: TERESA M WARD MA LMHP
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
1106H00000XMarriage & Family Therapist2113NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
184668OTHERBCBS

General Provider Information

NPI Number : 1184656589
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA M WARD MA LMHP
Provider Business Mailing Address
First Line : 110 N BAILEY AVE
Second Line : PO BOX 1209
City : NORTH PLATTE
State : NE
Zip : 69101-5436
Country : US
Telephone Number : 308-534-6029
Fax Number : 308-534-6961
Provider Business Practice Location Address
First Line : 110 N BAILEY AVE
Second Line :
City : NORTH PLATTE
State : NE
Zip : 69101-5436
Country : US
Telephone Number : 308-534-6029
Fax Number : 308-534-6961
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 07/27/2007

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Directions to “ TERESA M WARD MA LMHP” Practice Location

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