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NPI Code Detail

MEDICARE: DR. CARY MARGARET WATSON PHD PSY

MEDICARE:  DR. CARY MARGARET WATSON  PHD PSY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist24235CA

General Provider Information

NPI Number : 1053861252
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARY MARGARET WATSON PHD PSY
Provider Business Mailing Address
First Line : 1292 NILDA AVE
Second Line :
City : MOUNTAIN VIEW
State : CA
Zip : 94040-3124
Country : US
Telephone Number : 650-740-6659
Fax Number :
Provider Business Practice Location Address
First Line : 4546 EL CAMINO REAL
Second Line : SUITE 242
City : LOS ALTOS
State : CA
Zip : 94022-1099
Country : US
Telephone Number : 650-740-6659
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2016
Last Update Date : 10/11/2016

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