Doctor Name: | DENIELLE L WATSON |
NPI Number: | 1811215536 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SL009833 |
Business Practice Address: | 32-36 Central Ave Wellsboro, PA - 169011840 |
Business Phone Number: | 5707230120 |
Business Fax Number: | 5707245633 |
Mailing Address: | 32-36 Central Ave, WELLSBORO |
State: | PA |
Postal Code: | 169011840 |
Phone Number: | 5707230120 |
Fax Number: | 5707245633 |
NPI Enumeration Date: | 05/05/2010 |
NPI Last Update Date: | 05/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL009833 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |