Provider Demographics
NPI:1952450991
Name:WARBURTON, JILL NOREEN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:NOREEN
Last Name:WARBURTON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 PRENTISS ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-6142
Mailing Address - Country:US
Mailing Address - Phone:415-816-8603
Mailing Address - Fax:415-826-5455
Practice Address - Street 1:2481 CLAY ST STE 202B
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-1808
Practice Address - Country:US
Practice Address - Phone:415-922-7793
Practice Address - Fax:415-826-5455
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY20773103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical