Individual
DR. LISA MICHELLE WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
123 COMMERCE ST, SUITE A, KERRVILLE, TX 78028-4950
(830) 792-4477
(830) 792-4546
Mailing address
123 COMMERCE ST, SUITE A, KERRVILLE, TX 78028-4950
(830) 792-5542
(830) 792-4546
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31780
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025HV
BCBS
TX
05
—
147606103
—
TX
Enumeration date
08/07/2006
Last updated
05/30/2008
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