Individual
KIA WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2633 E INDIAN SCHOOL RD STE 360, PHOENIX, AZ 85016-6777
(937) 831-4642
Mailing address
2633 E INDIAN SCHOOL RD STE 360, PHOENIX, AZ 85016-6777
(937) 831-4642
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY005494
AZ
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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