| Jennifer M Watson Phd Llc | |
|
5214 Sw 91st Terrace Suite A Gainesville FL 32608 | |
| (352) 337-0551 | |
| (352) 374-2166 |
| Full Name | Jennifer M Watson Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 5214 Sw 91st Terrace, Gainesville, Florida |
| Authorized Official Name and Position | Jennifer M Watson (OWNER) |
| Authorized Official Contact | 3523370551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer M Watson Phd Llc 5214 Sw 91st Terrace Suite A Gainesville FL 32608 Ph: (352) 337-0551 | Jennifer M Watson Phd Llc 5214 Sw 91st Terrace Suite A Gainesville FL 32608 Ph: (352) 337-0551 |
| NPI Number | 1093047375 |
|---|---|
| Provider Enumeration Date | 02/11/2010 |
| Last Update Date | 10/25/2018 |
| Medicare PECOS PAC ID | 8123163656 |
|---|---|
| Medicare Enrollment ID | O20100510000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093047375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY7111 (Florida) | Primary |
| Provider Name | Jennifer M Watson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235390352 PECOS PAC ID: 1153466685 Enrollment ID: I20100308000684 |
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