Individual
RICHARD A WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5675 FAIRVIEW ST, STEVENSVILLE, MI 49127-1033
(269) 429-7727
(269) 429-5754
Mailing address
5675 FAIRVIEW ST, STEVENSVILLE, MI 49127-1033
(269) 429-7727
(269) 429-5754
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401009577
MI
103T00000X
Psychologist
Primary
6301012216
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P208915080
BLUE CROSS PIN
MI
Enumeration date
09/20/2006
Last updated
12/05/2008
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