MEDICARE: DR. NAOJI ANDREW WATSON PSY.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
1	103TC0700X	Clinical Psychologist	0810004960	VA

Other Identifiers

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

General Provider Information

NPI Number	:	1396163218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAOJI ANDREW WATSON PSY.D.

Provider Business Mailing Address
First Line	:	224D CORNWALL ST NW STE 403
Second Line	:
City	:	LEESBURG
State	:	VA
Zip	:	20176-2704
Country	:	US
Telephone Number	:	703-737-6010
Fax Number	:	571-291-2786

Provider Business Practice Location Address
First Line	:	7921 JONES BRANCH DRIVE, SUITE 311
Second Line	:
City	:	MCLEAN
State	:	VA
Zip	:	22102-3334
Country	:	US
Telephone Number	:	703-772-4428
Fax Number	:	571-384-6309

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2014
Last Update Date	:	12/12/2023

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