MEDICARE: LINDA WATSON LPC

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
1	101YP2500X	Professional Counselor	37PC00375100	NJ

General Provider Information

NPI Number	:	1548425317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA WATSON LPC

Provider Business Mailing Address
First Line	:	10 HOOK DR
Second Line	:
City	:	MILFORD
State	:	NJ
Zip	:	08848-1538
Country	:	US
Telephone Number	:	908-507-7522
Fax Number	:	908-995-7319

Provider Business Practice Location Address
First Line	:	6 MINNEAKONING RD
Second Line	:	FLEMINGTON CENTER
City	:	FLEMINGTON
State	:	NJ
Zip	:	08822-5728
Country	:	US
Telephone Number	:	908-507-7522
Fax Number	:	908-995-7319

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2008
Last Update Date	:	09/15/2015

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