Whalio Doctors

NPI 1043214679

Jan Earl Warner, PHDHSPP

Practitioner Clinical Psychologist Mishawaka, IN

Practice location

Address
230 E Day Rd STE 160, Mishawaka, IN 46545-3463
Phone
(574) 271-8222
Fax
(574) 271-8896
Mailing address
230 E Day Rd #160, Mishawaka, IN 46545-3463

Registered specialties (4)

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 20040740A (IN)
Clinical Neuropsychologist
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence IN20040740 (IN)
Clinical Neuropsychologist
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 20040740A (IN)
Cognitive & Behavioral Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TB0200X Licence 20040740A (IN)

Registry record

NPI
1043214679
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Jun 2005
Record last updated
3 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.