| NPI | 1093872087 |
|---|---|
| Doing Business As | INDIVIDUAL |
| Entity Type | Organization |
| Authorized Contact | DONALD EDWARD WATSON Psychologist 508-247-9339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 626) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2008-06-24 |