| Organization Name: | ROBERT E WATSON MD PS |
| NPI Number: | 1205968682 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT E WATSON (PRESIDENT) |
| Mailing Address: | 6715 Lunde Rd Everson |
| State: | WA US |
| Postal Code: | 982479635 |
| Phone Number: | 3603988287 |
| Fax Number: | 3603987809 |
| NPI Enumeration Date: | 03/11/2007 |
| NPI Last Update Date: | 06/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |