Doctor Name: | DEBRA K WARNER |
NPI Number: | 1063513448 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA LP |
License Number: | LP0788 |
Business Practice Address: | 224 E Chapman Rmhc Duluth Clinic Ely, MN - 55731 |
Business Phone Number: | 2183653151 |
Business Fax Number: | |
Mailing Address: | 224 E Chapman, Rmhc Duluth Clinic ELY |
State: | MN |
Postal Code: | 55731 |
Phone Number: | 2183653151 |
Fax Number: | |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | LP0788 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |