Individual
KATEY WATRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19712 MACARTHUR BLVD STE 110, IRVINE, CA 92612-2407
(949) 943-1877
Mailing address
3851 ROSECRANS ST, SUITE K08, SAN DIEGO, CA 92110-3115
(619) 542-4166
(619) 542-4168
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY32748
CA
172V00000X
Community Health Worker
—
—
Other
Enumeration date
11/29/2012
Last updated
09/07/2021
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