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NPI Code Detail

MEDICARE: DR. CHARLOTTE B WATTS PH.D.

MEDICARE: DR. CHARLOTTE B WATTS PH.D.
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
1103TC0700XClinical Psychologist0810002587VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306821806
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLOTTE B WATTS PH.D.
Provider Business Mailing Address
First Line : 5821 STAPLES MILL RD
Second Line :
City : RICHMOND
State : VA
Zip : 23228-5427
Country : US
Telephone Number : 804-264-0966
Fax Number : 804-264-1029
Provider Business Practice Location Address
First Line : 517 W GRACE ST
Second Line :
City : RICHMOND
State : VA
Zip : 23220-4911
Country : US
Telephone Number : 804-783-2505
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2005
Last Update Date : 02/19/2020

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Directions to “ DR. CHARLOTTE B WATTS PH.D.” Practice Location

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