Individual
DR. MISTY LUNT WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(505) 998-1717
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY005812
AZ
103TC0700X
Clinical Psychologist
PSY1536
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81809727
—
NM
Enumeration date
10/29/2018
Last updated
03/12/2025
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