Watts, Lisa Michelle
Watts, Lisa Michelle is an sole proprietor health care provider with primary practice located at 123 Commerce St Suite A, Kerrville TX 78028-4950. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Watts, Lisa Michelle can be contacted via phone (830) 792-4477.Contact Information
Primary practice address
123 Commerce St Suite A
Kerrville TX 78028-4950
Phone: (830) 792-4477
Fax: (830) 792-4546
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 31780 | Texas |
Profile Details
NPI number | 1003825001 |
---|---|
LBN Legal business name | Watts, Lisa Michelle |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 7th, 2006 |
Last updated | May 30th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003825001 | NPPES |
Texas | Other | 0025HV | BCBS |
Texas | MEDICAID | 147606103 | BCBS |
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