DR. Warren Russell Payne JR., PHD LICENSED PROFESS
NPI #1952428096 in Webster Groves, Missouri
Provider Information
- NPI Number
- 1952428096
- Entity Type
- Individual
- Name
- DR. Warren Russell Payne JR., PHD LICENSED PROFESS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- PHD LICENSED PROFESS
- Enumeration Date
- Mar 23, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 875 ATALANTA AVENUE
- City
- Webster Groves
- State
- Missouri
- ZIP Code
- 63119-2001
- Phone
- (314) 276-0813
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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