DR. Warren Thomas Bush, PH.D.

NPI #1134748635 in Carbondale, Illinois

Provider Information

NPI Number
1134748635
Entity Type
Individual
Name
DR. Warren Thomas Bush, PH.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Clinical
Credential
PH.D.
Enumeration Date
Apr 14, 2020
Last Updated
Apr 14, 2020

Practice Location

Address
374 E GRAND AVE
ZIP Code
62901-3962
Phone
(618) 453-5371

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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