Individual
DR. JEROMY A. WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
835 S BURLINGTON AVE, SUITE 108, HASTINGS, NE 68901-6960
(402) 463-7711
(402) 461-5099
Mailing address
835 S BURLINGTON AVE, SUITE 108, HASTINGS, NE 68901-6960
(402) 463-7711
(402) 461-5099
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
740
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330
PROVISIONALLY LICENSED PSYCHOLOGIST
NE
05
—
47037877935
—
NE
01
—
740
STATE LICENSE PSYCHOLOGIST
NE
01
—
7596
PROVISIONAL MENTAL HEALTH PRACTITIONER
NE
Enumeration date
04/13/2009
Last updated
04/07/2010
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