Individual
DR. PATTI RAE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
454 W CALLE LAGO, TUCSON, AZ 85704-3914
(520) 229-2012
(520) 288-8222
Mailing address
454 W CALLE LAGO, TUCSON, AZ 85704-3914
(520) 229-2012
(520) 288-8222
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3298
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z116489
MEDICARE PTAN
AZ
Enumeration date
05/10/2006
Last updated
09/14/2015
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