Provider Demographics
NPI:1043338098
Name:WARSHOW, DONN ROSS (PHD)
Entity Type:Individual
Prefix:DR
First Name:DONN
Middle Name:ROSS
Last Name:WARSHOW
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21241 VENTURA BLVD STE 251
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-2199
Mailing Address - Country:US
Mailing Address - Phone:818-703-5953
Mailing Address - Fax:818-704-1986
Practice Address - Street 1:21241 VENTURA BLVD STE 251
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2199
Practice Address - Country:US
Practice Address - Phone:818-703-5953
Practice Address - Fax:818-704-1986
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY8952103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical