Individual
MS. PHYLLIS S WATSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
67 COMMUNICATION DR, LACONIA, NH 03246-1440
(603) 528-3060
(603) 524-0702
Mailing address
67 COMMUNICATION DR, LACONIA, NH 03246-1440
(603) 528-3060
(603) 524-0702
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1058
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1307426Y0NH01
ANTHEM BC/BS
NH
Enumeration date
05/05/2006
Last updated
07/08/2007
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