JACK WARREN ITO PHD NPI 1710966593

NPI Information

Jack Warren Ito, PHD is a clinical psychologist in 29 Palms, CA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. Jack Warren Ito, PHD NPI is 1710966593. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

NAVAL HOSPITAL 29 PALMS
MCAGCC
29 PALMS, CA
ZIP 92278
Phone: (760) 830-2782

The enumeration date for this NPI number is 1/11/2006 and was last updated on 11/1/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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