Individual
DR. STACEY G WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
670 WOODBOURNE RD, SUITE 302, LANGHORNE, PA 19047
(215) 750-5525
(215) 750-5538
Mailing address
PO BOX 215, BUCKINGHAM, PA 18912-0215
(215) 750-5525
(215) 750-5538
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PS015003
PA
103T00000X
Psychologist
Primary
PS015003
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000582000
INDEPENDENCE BLUE CROSS A
—
01
—
2323243000
PERSONAL CHOICE
—
01
—
2626143
AETNA
—
Enumeration date
10/20/2006
Last updated
09/11/2025
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