NPI 1053348441

Clay Herold Ward, PHDCLINICALPSYCH

Practitioner Clinical Neuropsychologist Meridian, ID

Practice location

Address: 3061 S Meridian Rd Suite 150, Meridian, ID 83642-7962
Phone: (208) 631-5063
Fax: (208) 887-0950
Mailing address: P.O. Box 465, Kuna, ID 83634

Registered specialties (3)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PSY239 (ID)

Other Clinical Neuropsychologist providers in Idaho →

Psychologist

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence PSY239 (ID)

Other Psychologist providers in Idaho →

Psychologist

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence PSY-239 (ID)

Registry record

NPI: 1053348441
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jun 2006
Record last updated: 13 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.