Individual
MR. MICHAEL WESLEY WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHS, MFT, CRAS
Contact information
Practice address
312 E SOMERDALE RD, SOMERDALE, NJ 08083-1108
(856) 782-1553
(856) 782-1030
Mailing address
312 E SOMERDALE RD, SOMERDALE, NJ 08083-1108
(856) 782-1553
(856) 782-1030
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019674
—
NJ
Enumeration date
03/27/2007
Last updated
07/09/2007
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