Gina Derosa Warren in Murphysboro - Cognitive & Behavioral
Gina Derosa Warren - NPI 1871783191
Gina Derosa Warren is a Cognitive & Behavioral in Murphysboro, Illinois. Gina Derosa Warren practices all healthcare services and medical treatments related to Cognitive & Behavioral. The NPI Number for Gina Derosa Warren is 1871783191. The last update date is 2007-08-01.
Gina Derosa Warren's current location address is 11 Westwood Ln, Murphysboro, Illinois. You can contact this provider via phone number 6186845953. The mailing address for Gina Derosa Warren is 11 Westwood Ln, Murphysboro, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gina Derosa Warren |
|---|---|
| Address | 11 Westwood Ln, Murphysboro, Illinois |
| Phone Number | 6186845953 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.S., BCBA |
NPI Number Detail
| NPI Number | 1871783191 |
|---|---|
| Provider Enumeration Date | 2007-08-01 |
| Last Updated Date | 2007-08-01 |
Provider Mailing Address Detail
| Address | 11 Westwood Ln |
|---|---|
| City | Murphysboro |
| State | Illinois (IL) |
| Post Code | 629663004 |
| Phone Number | 6186845953 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Cognitive & Behavioral |
|---|---|
| Taxonomy | 103Tb0200X |
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Definition: A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gina Derosa Warren by the Centers for Medicare & Medicaid Services?
The Gina Derosa Warren has been issued the NPI (National Provider Identifier) 1871783191 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Gina Derosa Warren is located?
The Gina Derosa Warren is situated at the following address: 11 Westwood Ln, Murphysboro, IL, 629663004.
What is Gina Derosa Warren's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gina Derosa Warren's area of specialization is Cognitive & Behavioral, and the corresponding taxonomy code that categorizes this field of practice is 103Tb0200X.
On what date did the Gina Derosa Warren receive the assignment of its 1871783191 from the Centers for Medicare & Medicaid Services?
The Gina Derosa Warren was issued its 1871783191 by the Centers for Medicare & Medicaid Services on 2007-08-01.
As of what date were the details related to Gina Derosa Warren most recently updated or revised?
The information pertaining to Gina Derosa Warren, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-01.