Individual
ROBERT BRENT WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 N MARR RD, COLUMBUS, IN 47201-6660
(812) 314-3400
(812) 376-4875
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(812) 339-1691
(812) 337-2438
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042950A
IN
Other
Enumeration date
08/03/2016
Last updated
02/21/2017
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