Individual
MR. BIRCHIE ST. CLAIR WARREN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA,LPA,HSP-PA
Contact information
Practice address
5300 PINEHALL WYND, RALEIGH, NC 27604-5986
(919) 212-3630
Mailing address
5300 PINEHALL WYND, RALEIGH, NC 27604-5986
(919) 212-3630
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1357
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1357
NC PSYCHOLOGY LICENSE
NC
05
—
6107400
—
NC
Enumeration date
02/14/2007
Last updated
07/08/2007
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