Individual
DR. JOHN AMBROSE WATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4101 PARKSTONE HEIGHTS DR, SUITE 260, AUSTIN, TX 78746-7396
(512) 306-0663
(512) 306-8086
Mailing address
4101 PARKSTONE HEIGHTS DR, SUITE 260, AUSTIN, TX 78746-7396
(512) 306-0663
(512) 306-8086
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2-3659
TX
106H00000X
Marriage & Family Therapist
Primary
002664-043004
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074HV
BCBS PROVIDER NUMBER
TX
Enumeration date
10/12/2006
Last updated
09/11/2025
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