Provider Demographics
NPI:1881967222
Name:WARD, TAEH ALLISON (PHD)
Entity type:Individual
Prefix:DR
First Name:TAEH
Middle Name:ALLISON
Last Name:WARD
Suffix:
Gender:F
Credentials:PHD
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Mailing Address - Street 1:344 ROLLING HILL RD STE 105
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-6865
Mailing Address - Country:US
Mailing Address - Phone:704-662-5459
Mailing Address - Fax:704-663-2554
Practice Address - Street 1:344 ROLLING HILL RD STE 105
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-6865
Practice Address - Country:US
Practice Address - Phone:704-662-5459
Practice Address - Fax:704-663-2554
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-15
Last Update Date:2022-02-15
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Provider Licenses
StateLicense IDTaxonomies
NC4804103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist