| Doctor Name: | FERNELLE LEKOYNE WARREN |
| NPI Number: | 1023058161 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 1357 |
| Business Practice Address: | 889 Elba Highway Suite 107a Troy, AL - 360796017 |
| Business Phone Number: | 3348088991 |
| Business Fax Number: | 3348088995 |
| Mailing Address: | Po Box 952, TROY |
| State: | AL |
| Postal Code: | 360810952 |
| Phone Number: | 3344349019 |
| Fax Number: | 3348088995 |
| NPI Enumeration Date: | 06/07/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1357 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |