Warner, Mark S.

Warner, Mark S. is an individual health care provider with primary practice located at 217 E Kaliste Saloom Rd Suite 101, Lafayette LA 70508-8513. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Warner, Mark S. can be contacted via phone (337) 261-5151.

Contact Information

Primary practice address
217 E Kaliste Saloom Rd Suite 101 Lafayette LA 70508-8513
Phone: (337) 261-5151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 651 Louisiana

Profile Details

NPI number 1629065495
LBN Legal business name Warner, Mark S.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629065495 NPPES
Louisiana MEDICAID 1985414

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