Individual provider · Type 1 NPI

Warren Thomas Bush, PhD

Clinical Psychologist · Carbondale, IL

NPI number 1134748635 Active

Practice location

374 E Grand Ave
Carbondale, IL 62901-3962

Mailing address

234 Russell Rd
Carbondale, IL 62901-8119

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X071.010242 (IL)

Clinical Psychologist: 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 discip…

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About NPI 1134748635

Warren Thomas Bush, PhD's National Provider Identifier is 1134748635, issued on Apr 14, 2020. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Carbondale, IL. The record was last updated on Apr 14, 2020.