Katherine Warner Licensed Psychologist

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

2183 Issued in OR

Legal business name

KATHERINE WARNER LICENSED PSYCHOLOGIST

Practice address

1016 Court St
Medford, OR 97501-5728

Phone

(541) 772-3524

Fax

(541) 499-0085

NPI assigned

Jan 3, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Katherine Warner, PHD

Title

Licensed Psychologist

Phone

(541) 621-5104

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1154691533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 DELTA WATERS RD # 102-266",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049181",
            "telephone_number": "541-772-3524",
            "fax_number": "541-499-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 COURT ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975015728",
            "telephone_number": "541-772-3524",
            "fax_number": "541-499-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE WARNER LICENSED PSYCHOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "541-621-5104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "OR",
            "license": "2183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Medford, OR
• Providers in Medford, OR by specialty
• Clinical Neuropsychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.