Individual
DR. NICHOLAS WATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1002 N MULBERRY ST STE 100, ELIZABETHTOWN, KY 42701-2037
(270) 401-4107
(270) 209-0872
Mailing address
216 LA FONTENAY CT, LOUISVILLE, KY 40223-3002
(270) 401-4107
(270) 209-0872
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1492
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11574941
CAQH
—
05
—
7100266120
—
KY
Enumeration date
05/25/2006
Last updated
09/17/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us