Individual
LISA ANN WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD,CCC-SLP
Contact information
Practice address
6902 PINE DR, PARAGOULD, AR 72450-8539
(870) 450-5206
Mailing address
6902 PINE DR, PARAGOULD, AR 72450-8539
(870) 450-5206
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
832
AR
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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