| Terri S. Watson, Psy.d., L.l.c. | |
|
3100 W Higgins Rd Suite 195 Hoffman Estates IL 60195-5251 | |
| (847) 275-7106 | |
| (847) 310-8600 |
| Full Name | Terri S. Watson, Psy.d., L.l.c. |
|---|---|
| Speciality | Psychologist |
| Location | 3100 W Higgins Rd, Hoffman Estates, Illinois |
| Authorized Official Name and Position | Terri Watson (OWNER) |
| Authorized Official Contact | 8472757106 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Terri S. Watson, Psy.d., L.l.c. 3100 W Higgins Rd Ste 195 Hoffman Estates IL 60169-7253 Ph: (847) 275-7106 | Terri S. Watson, Psy.d., L.l.c. 3100 W Higgins Rd Suite 195 Hoffman Estates IL 60195-5251 Ph: (847) 275-7106 |
| NPI Number | 1376696401 |
|---|---|
| Provider Enumeration Date | 01/20/2007 |
| Last Update Date | 08/12/2022 |
| Certification Date | 08/12/2022 |
| Medicare PECOS PAC ID | 5799161055 |
|---|---|
| Medicare Enrollment ID | O20221011000293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376696401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 071004732 (Illinois) | Primary |
| Provider Name | Terri Sue Watson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407467475 PECOS PAC ID: 8325424682 Enrollment ID: I20221011000406 |
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