Individual
DR. MARK JOSEPH WATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., J.D.
Contact information
Practice address
526 REGENCY DR, LARAMIE, WY 82070-5106
(307) 745-5414
(307) 745-5138
Mailing address
526 REGENCY DR, LARAMIE, WY 82070-5106
(307) 745-5414
(307) 745-5138
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1751
CO
103T00000X
Psychologist
Primary
199
WY
Other
Enumeration date
02/24/2007
Last updated
07/08/2007
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