KEITH C. WARREN, PH.D., P.C.
Psychologist at Lakeland Cir, Waco, TX

License number
Texas 23289
Category
Psychologist
Type
Psychologist
Owner
Name: DR. KEITH C. WARREN PH.D.
Title: PRESIDENT
Phone: (254) 722-9961
Address
Address
5020 Lakeland Cir SUITE B, Waco, TX 76710
National Provider ID: 1811178445
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KEITH C. WARREN, PH.D., PC

Waco, TX

Doing business as:
Keith C. Warren, PH.D., PC
Registration:
Apr 2, 2007
Addresses:
5020 Lakeland Cir STE B, Waco, TX 76710 (Mailing)
5020 Lakewood Dr, Waco, TX 76710
State ID:
0800795708
Business type:
Domestic Professional Corporation
DIRECTOR, Director:
Keith C. Warren (DIRECTOR, Director), 5020 Lakeland Cir SUITE B, Waco, TX 76710
Agent:
Keith C Warren,317 Quail Holw, Woodway, TX 76712 (Physical)
TIN:
32029263194

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