Dr. Rae Watkins
Clinical Psychologist
3354 N Paulina St Ste 204c
Chicago
, Illinois 60657-1087
Dr. Rae Watkins
Clinical Psychologist
3354 N Paulina St Ste 204c
Chicago
, Illinois 60657-1087
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Rae Watkins
- Po Box 544
- Grant Park, IL
- Zip : 60940-0544
- Phone :
Second Address
- Dr. Rae Watkins
- 3354 N Paulina St Ste 204c
- Chicago, IL
- Zip : 60657-1087
- Phone : (773) 405-3541
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 071009266 | IL |
| Y | 103TC0700X | Clinical Psychologist | 071009266 | IL |
National Provider Identifier
| NPI | 1003263112 |
|---|---|
| Provider Name | Dr. Rae Watkins |
| First Address | Grant Park, IL 60940-0544 |
| Second Address | Chicago, IL 60657-1087 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/05/2016 |
| Last Update Date | 18/05/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.