Individual
LISA ANN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4407 N DIVISION ST STE 304, SPOKANE, WA 99207-1613
(509) 999-1834
(509) 863-9849
Mailing address
4407 N DIVISION ST STE 304, SPOKANE, WA 99207-1613
(509) 999-1834
(509) 863-9849
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60114153
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8320547
—
WA
Enumeration date
10/14/2009
Last updated
03/17/2018
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