Provider Demographics
NPI:1124481833
Name:WARSHAW, HOWARD SCOTT (LMFT)
Entity type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:SCOTT
Last Name:WARSHAW
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 FREMONT AVE STE 260G
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94024-6058
Mailing Address - Country:US
Mailing Address - Phone:408-497-5653
Mailing Address - Fax:
Practice Address - Street 1:1000 FREMONT AVE STE 260G
Practice Address - Street 2:
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94024-6058
Practice Address - Country:US
Practice Address - Phone:408-497-5653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-30
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52529106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist