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General NPI Number Information
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NPI Number | 1003609843
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Entity Type | Organization
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Legal Business Name | PINA-WATSON PSYCHOLOGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 05/24/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 3223 S LOOP 289 STE 416
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City | LUBBOCK
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State | TX
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Zip | 79423-1365
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Country | US
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Telephone | 806-454-5191
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Fax | 806-482-1639
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Provider Business Mailing Address
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Address Line | 10204 HOMESTEAD AVE
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City | LUBBOCK
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State | TX
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Zip | 79424-3880
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Country | US
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Telephone | 806-407-7201
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST, OWNER
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Name | DR. BRANDY MICHELLE WATSON
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Credential | LP
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Telephone | 806-454-5191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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