MEDICARE: DAVID PAUL WARNER PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	12585632-2501	UT

General Provider Information

NPI Number	:	1417087776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID PAUL WARNER PHD

Provider Business Mailing Address
First Line	:	2632 E SANIBEL CV
Second Line	:
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84121-3474
Country	:	US
Telephone Number	:	801-361-8846
Fax Number	:

Provider Business Practice Location Address
First Line	:	2632 E SANIBEL CV
Second Line	:
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84121-3474
Country	:	US
Telephone Number	:	801-361-8846
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	10/22/2025

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Directions to “ DAVID PAUL WARNER PHD” Practice Location

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