Dominick, Stephen Ward

Dominick, Stephen Ward is an sole proprietor health care provider with primary practice located at 1735 Sheridan Ave Suite 230, Cody WY 82414-3855. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Dominick, Stephen Ward can be contacted via phone (307) 587-8439.

Contact Information

Primary practice address
1735 Sheridan Ave Suite 230 Cody WY 82414-3855
Fax: (307) 587-8439
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-187 Wyoming

Profile Details

NPI number 1962604215
LBN Legal business name Dominick, Stephen Ward
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962604215 NPPES
Wyoming Other LCSW-187 LIC. CLINICAL SOCIAL WORK

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