Individual
MR. MICHAEL W WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(860) 793-3500
Mailing address
182 MARK DR, COVENTRY, CT 06238-1168
(860) 742-9693
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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