Doctor Name: | DR. JENNIFER SAXON WATSON |
NPI Number: | 1467550996 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | PSY-9618 |
Business Practice Address: | 5000 Van Nuys Blvd Suite 300 Sherman Oaks, CA - 914031793 |
Business Phone Number: | 8183173421 |
Business Fax Number: | 8183372956 |
Mailing Address: | 5000 Van Nuys Blvd, Suite 300 SHERMAN OAKS |
State: | CA |
Postal Code: | 914031793 |
Phone Number: | 8183173421 |
Fax Number: | 8183372956 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 10/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | PSY-9618 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |