Individual
CHRISTINA NICOLE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 STAFFORD AVE, STAFFORD, VA 22554-7246
(540) 658-6000
Mailing address
31 STAFFORD AVE, STAFFORD, VA 22554-7246
(540) 658-6000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202011198
VA
235Z00000X
Speech-Language Pathologist
2204000939
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2204000939
SPEECH-LANGUAGE PATHOLOGIST
VA
Enumeration date
07/27/2022
Last updated
12/05/2023
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