Provider Demographics
NPI:1245631340
Name:WARD, CHRISTOPHER M (PSYD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:M
Last Name:WARD
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1868 N COMMERCE DR
Mailing Address - Street 2:
Mailing Address - City:NIXA
Mailing Address - State:MO
Mailing Address - Zip Code:65714-7603
Mailing Address - Country:US
Mailing Address - Phone:417-501-6867
Mailing Address - Fax:417-374-0047
Practice Address - Street 1:1868 N COMMERCE DR
Practice Address - Street 2:
Practice Address - City:NIXA
Practice Address - State:MO
Practice Address - Zip Code:65714-7603
Practice Address - Country:US
Practice Address - Phone:417-501-6867
Practice Address - Fax:417-374-0047
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-08
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014031837103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical