| Richard Warren, Phd, Pllc | |
|
24 Front St Ste 314 Exeter NH 03833-2774 | |
| (617) 681-5135 | |
| Not Available |
| Full Name | Richard Warren, Phd, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 24 Front St Ste 314, Exeter, New Hampshire |
| Authorized Official Name and Position | Richard Warren (PSYCHOLOGIST) |
| Authorized Official Contact | 6176815135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Warren, Phd, Pllc Po Box 57 Exeter NH 03833-0057 Ph: () - | Richard Warren, Phd, Pllc 24 Front St Ste 314 Exeter NH 03833-2774 Ph: (617) 681-5135 |
| NPI Number | 1326708777 |
|---|---|
| Provider Enumeration Date | 12/27/2021 |
| Last Update Date | 01/05/2022 |
| Certification Date | 01/05/2022 |
| Medicare PECOS PAC ID | 5092109991 |
|---|---|
| Medicare Enrollment ID | O20220217002599 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326708777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Richard K Warren |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326257908 PECOS PAC ID: 6406874742 Enrollment ID: I20051105000023 |
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