Provider Demographics
NPI:1518732767
Name:ELIZABETH K WARD, PSYD, LP, PLLC
Entity Type:Organization
Organization Name:ELIZABETH K WARD, PSYD, LP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, LP
Authorized Official - Phone:952-222-4284
Mailing Address - Street 1:18300 MINNETONKA BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:WAYZATA
Mailing Address - State:MN
Mailing Address - Zip Code:55391-4151
Mailing Address - Country:US
Mailing Address - Phone:952-222-4284
Mailing Address - Fax:
Practice Address - Street 1:18300 MINNETONKA BLVD STE 204
Practice Address - Street 2:
Practice Address - City:WAYZATA
Practice Address - State:MN
Practice Address - Zip Code:55391-4151
Practice Address - Country:US
Practice Address - Phone:952-222-4284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty