Watson, Carrie

Watson, Carrie is an individual health care provider with primary practice located at 910 N Jefferson St , Jacksonville FL 32209-6810. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Watson, Carrie can be contacted via phone (904) 360-7022.

Contact Information

Primary practice address
910 N Jefferson St Jacksonville FL 32209-6810
Phone: (904) 360-7022
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA4865 Florida

Profile Details

NPI number 1538218698
LBN Legal business name Watson, Carrie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Apr 29th, 2008 - about 18 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 1538218698 NPPES
Florida MEDICAID 884251500
Florida MEDICAID 811281900

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