Maryanne Watson Phd Pc | |
5172 Village Creek Dr Ste 101 Plano TX 75093-4445 | |
(972) 380-8600 | |
(972) 380-2006 |
Full Name | Maryanne Watson Phd Pc |
---|---|
Speciality | Psychologist |
Location | 5172 Village Creek Dr, Plano, Texas |
Authorized Official Name and Position | Maryanne Watson (OWNER) |
Authorized Official Contact | 9723808600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Maryanne Watson Phd Pc 5172 Village Creek Dr Ste 101 Plano TX 75093-4445 Ph: (972) 380-8600 | Maryanne Watson Phd Pc 5172 Village Creek Dr Ste 101 Plano TX 75093-4445 Ph: (972) 380-8600 |
NPI Number | 1396039715 |
---|---|
Provider Enumeration Date | 06/02/2011 |
Last Update Date | 02/20/2014 |
Medicare PECOS PAC ID | 7911176904 |
---|---|
Medicare Enrollment ID | O20110809000063 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396039715 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 23658 (Texas) | Primary |
Provider Name | Maryanne Watson |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1538194857 PECOS PAC ID: 6002085099 Enrollment ID: I20110809000080 |
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