Organization
PAUL L WARREN, PSYD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL LAWRENCE WARREN PSYD (CLINICAL PSYCHOLOGIST)
(817) 292-4179
Entity
Organization
Contact information
Practice address
5658 WESTCREEK DR STE 400, FORT WORTH, TX 76133-2254
(817) 292-4179
(817) 918-4839
Mailing address
PO BOX 331584, FORT WORTH, TX 76163-1584
(817) 292-4179
(817) 918-4839
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT000U23X
—
TX
Enumeration date
03/22/2019
Last updated
03/22/2019
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