| Emily J Watson Lcsw Pip Llc | |
|
111 Longwood Dr Sw Huntsville AL 35801 | |
| (256) 534-8161 | |
| (256) 534-7254 |
| Full Name | Emily J Watson Lcsw Pip Llc |
|---|---|
| Speciality | Social Worker |
| Location | 111 Longwood Dr Sw, Huntsville, Alabama |
| Authorized Official Name and Position | Emily J Watson (OWNER) |
| Authorized Official Contact | 2565348161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emily J Watson Lcsw Pip Llc Po Box 16139 Huntsville AL 35802-1663 Ph: (256) 850-4091 | Emily J Watson Lcsw Pip Llc 111 Longwood Dr Sw Huntsville AL 35801 Ph: (256) 534-8161 |
| NPI Number | 1629146766 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 07/19/2018 |
| Medicare PECOS PAC ID | 7719080373 |
|---|---|
| Medicare Enrollment ID | O20070320000284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629146766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0125C (Alabama) | Primary |
| Provider Name | Emily J Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710917075 PECOS PAC ID: 8820994650 Enrollment ID: I20031211000268 |
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