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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003825001 NPPES
Texas Other 0025HV BCBS
Texas MEDICAID 147606103 BCBS

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