Individual
DR. KATHLEEN TRACY WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
130 ALLENS CREEK RD, ROCHESTER, NY 14618-3305
(585) 473-5810
Mailing address
130 ALLENS CREEK RD, ROCHESTER, NY 14618-3305
(585) 473-5810
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0101021
NY
103TC0700X
Clinical Psychologist
0101021
NY
103TC2200X
Clinical Child & Adolescent Psychologist
0101021
NY
103TF0000X
Family Psychologist
0101021
NY
Other
Enumeration date
09/27/2006
Last updated
09/11/2025
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