Individual
DR. THOMAS L WATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP / PHD
Contact information
Practice address
1664 N VIRGINIA ST, MAIL STOP 152, REDFIELD MEDICAL BLDG., RENO, NV 89557-0152
(775) 784-4887
(775) 784-4095
Mailing address
1664 N VIRGINIA ST, MAIL STOP 152, REDFIELD MEDICAL BLDG., RENO, NV 89557-0152
(775) 784-4887
(775) 784-4095
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP142
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507284
—
NV
01
—
CZ656Y
MEDICARE PTAN#
NV
Enumeration date
12/01/2005
Last updated
06/05/2013
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