Healthcare Provider Details

I. General information

NPI: 1972435188
Provider Name (Legal Business Name): SAMANTHA MARIE WARNER PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1304 E HIGH ST
POTTSTOWN PA
19464-4958
US

IV. Provider business mailing address

194 JENNIFER CT
LEVITTOWN PA
19057-3624
US

V. Phone/Fax

Practice location:
  • Phone: 610-776-9546
  • Fax:
Mailing address:
  • Phone: 267-671-8468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: