Individual
JOSHUA WATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
865 EISENHOWER BLVD., JOHNSTOWN, PA 15904-3327
(814) 266-8840
(814) 266-2176
Mailing address
1322 EISENHOWER BLVD., JOHNSTOWN, PA 15904-3307
(814) 266-8840
(814) 266-2176
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS017055
PA
103T00000X
Psychologist
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007708200003
—
PA
Enumeration date
03/10/2011
Last updated
09/02/2011
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