Provider Demographics
NPI:1407090483
Name:WARNER, DANIEL NOAM
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:NOAM
Last Name:WARNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 TAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1843
Mailing Address - Country:US
Mailing Address - Phone:570-258-5915
Mailing Address - Fax:888-972-6940
Practice Address - Street 1:225 TAYLOR ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1843
Practice Address - Country:US
Practice Address - Phone:570-258-5915
Practice Address - Fax:888-972-6940
Is Sole Proprietor?:No
Enumeration Date:2009-04-22
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-017016103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical