Provider Demographics
NPI:1467744474
Name:WARD, JUDY MARIE (BA, MBA)
Entity Type:Individual
Prefix:MRS
First Name:JUDY
Middle Name:MARIE
Last Name:WARD
Suffix:
Gender:F
Credentials:BA, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8012 GOLDEN OAKS RD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73127-3035
Mailing Address - Country:US
Mailing Address - Phone:405-787-9362
Mailing Address - Fax:405-787-0783
Practice Address - Street 1:8012 GOLDEN OAKS RD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73127-3035
Practice Address - Country:US
Practice Address - Phone:405-787-9362
Practice Address - Fax:405-787-0783
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-09
Last Update Date:2011-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health