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1699293183 NPI number — LISA CAMILLE WATSON PSYD

NPI Number: 1699293183
Health Care Provider/Practitioner: LISA CAMILLE WATSON PSYD

Information about “1699293183” NPI (LISA CAMILLE WATSON PSYD) exists in 1699293183 in HTML format HTML  |  1699293183 in plain Text format TXT  |  1699293183 in PDF (Portable Document Format) PDF  |  1699293183 in an XML format XML  formats.

NPI Number : 1699293183 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699293183",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WATSON",
    "FirstName": "LISA",
    "MiddleName": "CAMILLE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PSYD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7754 OKEECHOBEE BLVD STE 919",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WEST PALM BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33411-2104",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "954-574-2760",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7754 OKEECHOBEE BLVD STE 919",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WEST PALM BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33411-2104",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-574-2760",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/05/2017",
    "LastUpdateDate": "12/23/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": "PSY11497",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": "PY9944",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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