Nicholas Watters in Elizabethtown - Clinical
Nicholas Watters - NPI 1063468817
Nicholas Watters is a Clinical in Elizabethtown, Kentucky. Nicholas Watters practices all healthcare services and medical treatments related to Clinical. The NPI Number for Nicholas Watters is 1063468817. The last update date is 2016-05-31.
Nicholas Watters's current location address is Po Box 6278, Elizabethtown, Kentucky. You can contact this provider via phone number 2704014107 and fax number 2702090872. The mailing address for Nicholas Watters is Po Box 6278, Elizabethtown, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicholas Watters |
|---|---|
| Address | Po Box 6278, Elizabethtown, Kentucky |
| Phone Number | 2704014107 |
| Fax Number | 2702090872 |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1063468817 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2016-05-31 |
Provider Mailing Address Detail
| Address | Po Box 6278 |
|---|---|
| City | Elizabethtown |
| State | Kentucky (KY) |
| Post Code | 427026278 |
| Phone Number | 2704014107 |
| Fax Number | 2702090872 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1492 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11574941 | CAQH | ||
| 7100266120 | KY | -- |
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What is the unique identification code assigned to Nicholas Watters by the Centers for Medicare & Medicaid Services?
The Nicholas Watters has been issued the NPI (National Provider Identifier) 1063468817. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Nicholas Watters?
The Nicholas Watters is situated at Po Box 6278, in the city of Elizabethtown, state of KY, with the zip code 427026278.
What is Nicholas Watters's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Nicholas Watters is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
When did the Nicholas Watters receive its 1063468817?
The Nicholas Watters was issued its 1063468817 on 2006-05-25, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Nicholas Watters, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Nicholas Watters, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-05-31.
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