Provider Demographics
NPI:1427136878
Name:WARD, DOLORES P (MS, LPT)
Entity type:Individual
Prefix:MRS
First Name:DOLORES
Middle Name:P
Last Name:WARD
Suffix:
Gender:F
Credentials:MS, LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 OFFICE PARK STE 305
Mailing Address - Street 2:273 AZALEA ROAD
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-1970
Mailing Address - Country:US
Mailing Address - Phone:251-343-2022
Mailing Address - Fax:251-661-0492
Practice Address - Street 1:1 OFFICE PARK STE 305
Practice Address - Street 2:273 AZALEA ROAD
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-1970
Practice Address - Country:US
Practice Address - Phone:251-343-2022
Practice Address - Fax:251-661-0492
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL952103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling