| Doctor Name: | DR. SHIRLEY JOAN WATKINS |
| NPI Number: | 1013226943 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 2010030790 |
| Business Practice Address: | 108 W Jasper St Versailles, MO - 650841020 |
| Business Phone Number: | 5733786833 |
| Business Fax Number: | 5733786823 |
| Mailing Address: | 108 W Jasper St, VERSAILLES |
| State: | MO |
| Postal Code: | 650841020 |
| Phone Number: | 5733786833 |
| Fax Number: | 5733786823 |
| NPI Enumeration Date: | 09/27/2010 |
| NPI Last Update Date: | 03/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2010030790 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |