DR. Warren Eugene Icke, PHD

NPI #1467744862 in Paso Robles, California

Provider Information

NPI Number: 1467744862
Entity Type: Individual
Name: DR. Warren Eugene Icke, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: May 4, 2011
Last Updated: May 4, 2011

Practice Location

Address: 1789 MILLER CT
City: Paso Robles
State: California
ZIP Code: 93446-4651
Phone: (805) 238-0889

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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