Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jack Warren Ito, PHD

Individual provider Clinical Psychologist · NPI 1710966593

Jack Warren Ito, PHD is a Clinical Psychologist in 29 Palms, California. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

Naval Hospital 29 Palms McAgcc
29 Palms, CA 92278
Phone: (760) 830-2782
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS008530L (PA)
Psychologist Taxonomy 103T00000X · Licence PS008530L (PA)

Record details

NPI number1710966593
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJanuary 11, 2006
Last updated in NPPESNovember 1, 2007

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