MEDICARE: MRS. ELIZABETH ANNE WARD M. A.

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	235500000X	Speech/Language/Hearing Specialist/Technologist

General Provider Information

NPI Number	:	1265651368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH ANNE WARD M. A.

Provider Business Mailing Address
First Line	:	3001 WOODFIELD CIR
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-8677
Country	:	US
Telephone Number	:	859-625-9273
Fax Number	:	859-744-2583

Provider Business Practice Location Address
First Line	:	3001 WOODFIELD CIR
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-8677
Country	:	US
Telephone Number	:	859-625-9273
Fax Number	:	859-744-2583

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

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	07/08/2007

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