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Individual

DR. LISA MARIE WATSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
163 BEACH 96TH ST # 3A, ROCKAWAY BEACH, NY 11693-1304
(858) 898-1855
(858) 898-1890
Mailing address
16004 CROSSBAY BLVD # 163, HOWARD BEACH, NY 11414-3407
(858) 898-1855
(858) 898-1890

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY25210
CA

Other

Enumeration date
09/14/2012
Last updated
09/30/2024
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