1710966593 Jack Warren Ito, PHD
Clinical Psychologist
Active
Basic Information
- Full Name
- Jack Warren Ito, PHD
- Gender
- Male
- Enumeration Date
- January 11, 2006
- Last Update
- November 1, 2007
Practice Location
- Address
- NAVAL HOSPITAL 29 PALMS
MCAGCC
29 PALMS, CA 92278 - Phone
- (760) 830-2782
Mailing Address
- Address
- PO BOX 63
29 PALMS, CA 92277 - Phone
- (760) 830-2782
- Fax
- (724) 407-1201
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Clinical Psychologist Clinical | 103TC0700X | Psychologist | PS008530L | PA | Primary |
| Psychologist | 103T00000X | Psychologist | PS008530L | PA | No |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016536380004 | 05 | PA | N/A |
| 163751 | 01 | PA | VALUE BEHAVIORAL HEALTH |
| 959098 | 01 | PA | HIGHMARK PROVIDER NUMBER |
| A771081 | 01 | PA | VALUE BEHAVIORAL HEALTH |
Frequently Asked Questions
What is Jack Warren Ito, PHD's NPI number?
Jack Warren Ito, PHD's NPI number is 1710966593.
Which doctor has NPI number 1710966593?
The doctor with NPI number 1710966593 is Jack Warren Ito, PHD.
What is Jack Warren Ito, PHD's practice address?
Jack Warren Ito, PHD's practice address is NAVAL HOSPITAL 29 PALMS, MCAGCC, 29 PALMS, CA, 92278.
Which doctor practices at NAVAL HOSPITAL 29 PALMS, MCAGCC, 29 PALMS, CA, 92278?
Jack Warren Ito, PHD practices at NAVAL HOSPITAL 29 PALMS, MCAGCC, 29 PALMS, CA, 92278.
What is Jack Warren Ito, PHD's mailing address?
Jack Warren Ito, PHD's mailing address is PO BOX 63, 29 PALMS, CA, 92277.
What is Jack Warren Ito, PHD's phone number?
Jack Warren Ito, PHD's phone number is (760) 830-2782.
Who is (760) 830-2782?
(760) 830-2782 is the phone number for Jack Warren Ito, PHD.
What is Jack Warren Ito, PHD's specialty?
Jack Warren Ito, PHD's specialty is Clinical Psychologist.
What type of doctor is Jack Warren Ito, PHD?
Jack Warren Ito, PHD is a Clinical Psychologist.
Is Jack Warren Ito, PHD a Clinical?
Yes, Jack Warren Ito, PHD is a Clinical.
Is Jack Warren Ito, PHD still practicing?
Yes, Jack Warren Ito, PHD is currently practicing.
Is Jack Warren Ito, PHD accepting new patients?
Jack Warren Ito, PHD may be accepting new patients. Please call their office at (760) 830-2782 to inquire about availability.
Is NPI 1710966593 still active?
Yes, NPI 1710966593 is currently active.
Where does Jack Warren Ito, PHD practice?
Jack Warren Ito, PHD practices in 29 PALMS, CA.
Is Jack Warren Ito, PHD a male or female doctor?
Jack Warren Ito, PHD is a male doctor.