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Jack Warren Ito, PHD
Psychologist in 29 Palms, California
NPI 1710966593

Jack Warren Ito is a Psychologist based in 29 Palms, CA. Jack Warren Ito practices in 29 Palms, CA and has the professional credentials of PHD. The NPI Number for Jack Warren Ito is 1710966593 and holds a License No. PS008530L (California).

The current practice location address for Jack Warren Ito is Naval Hospital 29 Palms, 29 Palms, CA and can be reached out via phone at 760-830-2782.

Location: Naval Hospital 29 Palms, 29 Palms, CA, 92277
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710966593
Provider Name
Jack Warren Ito
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
Naval Hospital 29 Palms, 29 Palms, CA, 92277
Phone Number
760-830-2782
Fax Number
Provider Enumeration Date
01/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016536380004 05 PA
163751 01 PA VALUE BEHAVIORAL HEALTH
959098 01 PA HIGHMARK PROVIDER NUMBER
A771081 01 PA VALUE BEHAVIORAL HEALTH
institution
Provider Business Practice Location Address Details
Address
Naval Hospital 29 Palms
City
29 Palms
State
California
Zip
92278
Phone Number
760-830-2782
Fax Number
person
Provider Business Mailing Address Details
Address
Naval Hospital 29 Palms
City
29 Palms
State
California
Zip
92278
Phone Number
760-830-2782
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
PS008530L (Pennsylvania)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PS008530L (Pennsylvania)
Definition
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.
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