Jerry Warren is a Psychologist in Burlingame, California. Jerry Warren practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jerry Warren is 1629289087. The last update date is 2007-07-08.
Jerry Warren's current location address is 1820 Ogden Dr, Burlingame, California. You can contact this provider via phone number 6506977202 and fax number 6506977059. The mailing address for Jerry Warren is 1820 Ogden Dr, Burlingame, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Warren |
|---|---|
| Address | 1820 Ogden Dr, Burlingame, California |
| Phone Number | 6506977202 |
| Fax Number | 6506977059 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1629289087 |
|---|---|
| Provider Enumeration Date | 2007-05-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1820 Ogden Dr |
|---|---|
| City | Burlingame |
| State | California (CA) |
| Post Code | 940105384 |
| Phone Number | 6506977202 |
| Fax Number | 6506977059 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY 11056 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique 10-digit identification code issued to Jerry Warren by the Centers for Medicare & Medicaid Services?
The Jerry Warren has been assigned the NPI (National Provider Identifier) 1629289087 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Jerry Warren's physical address?
The Jerry Warren is physically located at 1820 Ogden Dr, in the city of Burlingame, CA, with the postal code 940105384.
What is the Jerry Warren's area of specialization and corresponding taxonomy classification?
The Jerry Warren's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629289087 to Jerry Warren?
The Centers for Medicare & Medicaid Services originally issued the 1629289087 to Jerry Warren on 2007-05-25.
As of what date were the Jerry Warren's details last updated?
The information pertaining to the Jerry Warren, including its address, specialty, and other details, was most recently updated on 2007-07-08.