Doctor Name: | DR. PAIGE KIMBERLY WARNER |
NPI Number: | 1013011030 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 1444 |
Business Practice Address: | 744 Nw 4th St Corvallis, OR - 973306415 |
Business Phone Number: | 5417522700 |
Business Fax Number: | |
Mailing Address: | 744 Nw 4th St, CORVALLIS |
State: | OR |
Postal Code: | 973306415 |
Phone Number: | 5417522700 |
Fax Number: | |
NPI Enumeration Date: | 09/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 1444 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |