Individual
DR. WARREN ROSS LOOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4300 WAIALAE AVE APT B1002, HONOLULU, HI 96816-5757
(808) 284-2200
(888) 668-8527
Mailing address
4348 WAIALAE AVE # 403, HONOLULU, HI 96816-5767
(808) 284-2200
(888) 668-8527
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-792
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203822633
TRICARE
HI
01
—
232967
HMSA
HI
05
—
54463601
—
HI
Enumeration date
09/24/2006
Last updated
07/26/2022
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