Warren, Stacey G

Warren, Stacey G is an individual health care provider with primary practice located at 670 Woodbourne Rd Suite 302, Langhorne PA 19047. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Warren, Stacey G can be contacted via phone (215) 750-5525.

Contact Information

Primary practice address
670 Woodbourne Rd Suite 302 Langhorne PA 19047
Phone: (215) 750-5525
Fax: (215) 750-5538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PS015003 Pennsylvania
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS015003 Pennsylvania

Profile Details

NPI number 1619059367
LBN Legal business name Warren, Stacey G
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1619059367 NPPES
Other 2000582000 INDEPENDENCE BLUE CROSS A
Other 2323243000 INDEPENDENCE BLUE CROSS A
Other 2626143 INDEPENDENCE BLUE CROSS A

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