Provider Demographics
NPI:1346129756
Name:WARD, EMILY MEGAN
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:MEGAN
Last Name:WARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2022 ALLEN DR
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-1802
Mailing Address - Country:US
Mailing Address - Phone:573-275-1552
Mailing Address - Fax:
Practice Address - Street 1:1 CORPORATE DR
Practice Address - Street 2:
Practice Address - City:DEXTER
Practice Address - State:MO
Practice Address - Zip Code:63841-9138
Practice Address - Country:US
Practice Address - Phone:573-275-1552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician