Individual
BIANCA WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6012 W WILLIAM CANNON DR STE B103, AUSTIN, TX 78749-1978
(512) 891-1500
Mailing address
6012 W WILLIAM CANNON DR STE B103, AUSTIN, TX 78749-1978
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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