Provider Demographics
NPI:1003839812
Name:WATTS, BRADLEY ANDREW (LMFT)
Entity Type:Individual
Prefix:MR
First Name:BRADLEY
Middle Name:ANDREW
Last Name:WATTS
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8956 RESEARCH BLVD.
Mailing Address - Street 2:BLDG. 2
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758
Mailing Address - Country:US
Mailing Address - Phone:512-451-7337
Mailing Address - Fax:512-451-8729
Practice Address - Street 1:8956 RESEARCH BLVD
Practice Address - Street 2:BLDG. 2
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-5902
Practice Address - Country:US
Practice Address - Phone:512-451-7337
Practice Address - Fax:512-451-7337
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3416101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health