Individual
JEFFERY WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPP
Contact information
Practice address
425 BROADWAY ST, PADUCAH, KY 42001-0713
(270) 442-9767
Mailing address
425 BROADWAY ST, PADUCAH, KY 42001-0713
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
266685
KY
Other
Enumeration date
11/08/2022
Last updated
03/12/2025
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