Individual
ELIZABETH RYANN WATSON-STITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
901 EAST 18TH AVE, EUGENE, OR 97403-5254
(541) 346-3575
Mailing address
901 EAST 18TH AVE, EUGENE, OR 97403-5254
(541) 346-3575
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2440
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39143500
—
WI
Enumeration date
02/02/2006
Last updated
01/11/2023
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