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NPI Code Detail

MEDICARE: CAROLINE H WATT LCAT, RDT

MEDICARE:   CAROLINE H WATT  LCAT, RDT
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
1101Y00000XCounselor002144NY
2221700000XArt Therapist002144NY

General Provider Information

NPI Number : 1942893698
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINE H WATT LCAT, RDT
Provider Business Mailing Address
First Line : 229 SAINT JOHNS PL APT 4A
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-3418
Country : US
Telephone Number : 216-469-1690
Fax Number :
Provider Business Practice Location Address
First Line : 229 SAINT JOHNS PL APT 4A
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-3418
Country : US
Telephone Number : 847-814-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2021
Last Update Date : 02/16/2021

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Directions to “ CAROLINE H WATT LCAT, RDT” Practice Location

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