Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 2119 | NC |
N | 103T00000X | Psychologist | 2119 | NC |
N | 103G00000X | Clinical Psychologist | 2119 | NC |
N | 103TC0700X | Clinical Psychologist | 2119 | NC |
N | 103TF0000X | Family Psychologist | 2119 | NC |
N | 103TH0100X | Health Service | 2119 | NC |
N | 103TP2701X | Group Psychotherapist | 2119 | NC |
NPI | 1043270721 |
---|---|
Provider Name | Dr. Christopher Graham Watson |
First Address | Jamestown, NC 27282-8519 |
Second Address | Salisbury, NC 28144-2515 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2006 |
Last Update Date | 08/07/2007 |