Individual
NANCY CLANTON WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1918 RANDOLPH RD STE 400, CHARLOTTE, NC 28207
(704) 384-9437
(704) 384-9440
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-9437
(704) 384-9440
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
4606
NC
103T00000X
Psychologist
Primary
4606
NC
Other
Enumeration date
09/23/2009
Last updated
10/26/2020
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