Provider Demographics
NPI:1619146685
Name:WARD, WILLIAM E III (LPC)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:E
Last Name:WARD
Suffix:III
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:NJ
Mailing Address - Zip Code:07044-1621
Mailing Address - Country:US
Mailing Address - Phone:917-837-5401
Mailing Address - Fax:
Practice Address - Street 1:139 GROVE AVE
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:NJ
Practice Address - Zip Code:07044-1621
Practice Address - Country:US
Practice Address - Phone:917-837-5401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00363200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional