Individual
DANA BEVILL WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1704 HIGHWAY 69 WEST, TRUMANN, AR 72472-2029
(870) 483-4003
(870) 483-4009
Mailing address
1815 PLEASANT GROVE RD, JONESBORO, AR 72401-7870
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
017193-1
NY
103TC0700X
Clinical Psychologist
Primary
02-17P
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186708795
—
AR
01
—
5X237
BCBS
AR
Enumeration date
05/10/2006
Last updated
05/16/2018
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