Provider Demographics
NPI:1013163591
Name:WARREN, AMY R (EDD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:R
Last Name:WARREN
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7833 GLASTENBURY CT
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:MD
Mailing Address - Zip Code:20695-4412
Mailing Address - Country:US
Mailing Address - Phone:301-885-0847
Mailing Address - Fax:
Practice Address - Street 1:7833 GLASTENBURY CT
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:MD
Practice Address - Zip Code:20695-4412
Practice Address - Country:US
Practice Address - Phone:301-885-0847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-15
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist