Individual
LISA WATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2927 N 7TH AVE, PHOENIX, AZ 85013-4102
(602) 406-5864
(602) 406-3030
Mailing address
3200 N CENTRAL AVE, SUITE 900, PHOENIX, AZ 85012-2425
(602) 406-3729
(602) 798-9412
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3696
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093362
—
AZ
Enumeration date
08/30/2006
Last updated
07/09/2007
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