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General NPI Number Information
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NPI Number | 1396039715
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Entity Type | Organization
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Legal Business Name | MARYANNE WATSON PHD PC
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Dates
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Enumeration Date | 06/02/2011
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 5172 VILLAGE CREEK DR STE 101
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City | PLANO
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State | TX
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Zip | 75093-4445
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Country | US
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Telephone | 972-380-8600
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Fax | 972-380-2006
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Provider Business Mailing Address
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Address Line | 5172 VILLAGE CREEK DR STE 101
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City | PLANO
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State | TX
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Zip | 75093-4445
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Country | US
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Telephone | 214-308-1407
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Fax | 972-380-2006
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Authorized Official
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Title or Position | OWNER
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Name | MARYANNE WATSON
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Credential | PHD
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Telephone | 214-620-4001
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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 | 23658
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License Number State | TX
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