Provider Demographics
NPI:1336411131
Name:WESTFALL, WARD OWEN (MA, CACIII)
Entity Type:Individual
Prefix:MR
First Name:WARD
Middle Name:OWEN
Last Name:WESTFALL
Suffix:
Gender:M
Credentials:MA, CACIII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4708 HOLLY CT
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-1915
Mailing Address - Country:US
Mailing Address - Phone:970-222-8044
Mailing Address - Fax:
Practice Address - Street 1:913 ENGLEMAN PL
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-1943
Practice Address - Country:US
Practice Address - Phone:970-222-8044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health