Doctor Name: | DR. LINDA WATT |
NPI Number: | 1164766176 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 8821 |
Business Practice Address: | 9 Saint Margarets St Unit 1 Buzzards Bay, MA - 025323269 |
Business Phone Number: | 5083264371 |
Business Fax Number: | |
Mailing Address: | 9 Saint Margarets St, Unit 1 BUZZARDS BAY |
State: | MA |
Postal Code: | 025323269 |
Phone Number: | 5083264371 |
Fax Number: | |
NPI Enumeration Date: | 11/15/2012 |
NPI Last Update Date: | 11/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 8821 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |