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Individual

MRS. ERYNN PATEN WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8100
Mailing address
14244 WILLOW BEND PARK APT 6, TOWN AND COUNTRY, MO 63017-8247
(660) 973-1695

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2022035199
MO
235Z00000X
Speech-Language Pathologist
SLP12251
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SLP12251
STATE LICENSE
AZ
Enumeration date
01/24/2020
Last updated
09/09/2022
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