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Individual

DR. CHARLOTTE B WATTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
517 W GRACE ST, RICHMOND, VA 23220-4911
(804) 783-2505
Mailing address
5821 STAPLES MILL RD, RICHMOND, VA 23228-5427
(804) 264-0966
(804) 264-1029

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002587
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007700547
VA
Enumeration date
12/07/2005
Last updated
02/19/2020
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