Individual
LATOYA WATFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
770 WOODLANE RD, WESTAMPTON, NJ 08060-3804
(609) 267-5928
Mailing address
770 WOODLANE RD, MOUNT HOLLY, NJ 08060
(609) 267-5928
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35288361
—
NJ
Enumeration date
08/28/2016
Last updated
08/28/2016
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