Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TA0700X | Adult Development & Aging Psychologist | PSY9166 | CA |
N | 103TR0400X | Rehabilitation Psychologist | PSY 9166 | CA |
NPI | 1154414936 |
---|---|
Provider Name | Dr. David B Watson |
First Address | Huntington Beach, CA 92647-3843 |
Second Address | Huntington Beach, CA 92647-3843 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 18/06/2013 |