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General NPI Number Information
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NPI Number | 1376696401
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Entity Type | Organization
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Legal Business Name | TERRI S. WATSON, PSY.D., L.L.C.
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Dates
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Enumeration Date | 01/20/2007
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Last Update Date | 08/12/2022
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Provider Practice Location Address
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Address Line | 3100 W HIGGINS RD SUITE 195
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60195-5251
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Country | US
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Telephone | 847-275-7106
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Fax | 847-310-8600
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Provider Business Mailing Address
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Address Line | 3100 W HIGGINS RD STE 195
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-7253
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Country | US
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Telephone | 847-275-7106
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Fax | 630-538-7403
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Authorized Official
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Title or Position | OWNER
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Name | TERRI WATSON
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Credential | PSYD
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Telephone | 847-275-7106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 071004732
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License Number State | IL
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