Individual
BRENNA ELLEN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 VACA VALLEY PKWY, VACAVILLE, CA 95688-9421
(707) 474-9949
Mailing address
679 OWL DR, VACAVILLE, CA 95687-7242
(707) 628-7015
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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