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NPI Code Detail

MEDICARE: WILLIAM M. WARREN PH.D.

MEDICARE:   WILLIAM M. WARREN  PH.D.
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
1103T00000XPsychologist899NC

General Provider Information

NPI Number : 1326244021
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM M. WARREN PH.D.
Provider Business Mailing Address
First Line : 2800 GIVERNY DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28226-3307
Country : US
Telephone Number : 704-442-0136
Fax Number : 704-364-0625
Provider Business Practice Location Address
First Line : 1332 HARDING PL
Second Line :
City : CHARLOTTE
State : NC
Zip : 28204-2922
Country : US
Telephone Number : 704-333-2988
Fax Number : 704-333-3102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2007
Last Update Date : 05/05/2009

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Directions to “ WILLIAM M. WARREN PH.D.” Practice Location

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