Individual
EUGENE CHARLES WATERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2027 S 61ST ST, STE 126, TEMPLE, TX 76504-6817
(254) 774-8272
Mailing address
2027 S 61ST ST, STE 126, TEMPLE, TX 76504-6817
(254) 493-4559
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
21344
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115345401
—
TX
Enumeration date
06/08/2006
Last updated
02/23/2016
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