Watson, Mary Brent

Watson, Mary Brent is an sole proprietor health care provider with primary practice located at 1525 S Alafaya Trl Suite 101, Orlando FL 32828-8926. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Watson, Mary Brent can be contacted via phone (407) 384-2767.

Contact Information

Primary practice address
1525 S Alafaya Trl Suite 101 Orlando FL 32828-8926
Phone: (407) 384-2767
Fax: (407) 382-5637
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA4494 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1912179409
LBN Legal business name Watson, Mary Brent
Credentials SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2008
Last updated Jun 9th, 2011 - about 15 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 1912179409 NPPES
Florida MEDICAID 883958100

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