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NPI Code Detail

MEDICARE: MARYANNE WATSON PHD PC

MEDICARE: MARYANNE WATSON PHD PC
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
1103T00000XPsychologist23658TX

General Provider Information

NPI Number : 1396039715
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARYANNE WATSON PHD PC
Provider Business Mailing Address
First Line : 5172 VILLAGE CREEK DR
Second Line : STE 101
City : PLANO
State : TX
Zip : 75093-4445
Country : US
Telephone Number : 214-308-1407
Fax Number : 972-380-2006
Provider Business Practice Location Address
First Line : 5172 VILLAGE CREEK DR
Second Line : STE 101
City : PLANO
State : TX
Zip : 75093-4445
Country : US
Telephone Number : 972-380-8600
Fax Number : 972-380-2006
Authorized Official
Title or Position : OWNER
Name : MARYANNE WATSON
Credential : PHD
Telephone Number : 214-620-4001
Provider Enumeration Date : 06/02/2011
Last Update Date : 03/07/2025

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Directions to “MARYANNE WATSON PHD PC ” Practice Location

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