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THE WATSON INSTITUTE

Clinical Neuropsychologist

Sewickley, Pennsylvania

Provider NPI: 1801015656

Organization Information:
Organization Name:  THE WATSON INSTITUTE
Organization is not Subpart
Authorized Official:  BARRY  BOHN  CHIEF FINANCIAL OFFICER  412-7492813

Practice Location:
301 CAMPMEETING RD  SEWICKLEY, PA 15143 US
Tel: 412-749-2879  Fax: 412-741-1958

Business Mailing Address:
301 CAMPMEETING RD  SEWICKLEY, PA 15143 US
Tel: 412-749-2879  Fax: 412-741-1958

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
PA414590
X103T00000XBehavioral Health & Social Service Providers
Psychologist
PA414590
X1041C0700XBehavioral Health & Social Service Providers
Social Worker
PA414590
X2084P0804XPhysicians
Psychiatry & Neurology
PA414590
X261QM0855XAmbulatory Health Care Facilities
Clinic/Center
PA414590

Other Provider Identifiers:

IssuerNumberStateType
1007525810003PA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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