Individual
JACQUELINE ALYSE WATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1664 N VIRGINIA ST # MS 0152, RENO, NV 89557-2426
(775) 784-4887
(775) 784-4095
Mailing address
1664 N VIRGINIA ST # MS 152, RENO, NV 89557-0001
(775) 784-4887
(775) 784-8095
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
15408
OR
235Z00000X
Speech-Language Pathologist
Primary
SP-2674
NV
Other
Enumeration date
09/28/2017
Last updated
03/02/2020
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