Provider Demographics
NPI:1033349881
Name:WATSON, CAROL ANN (EDD,)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:ANN
Last Name:WATSON
Suffix:
Gender:F
Credentials:EDD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6535 S DAYTON ST
Mailing Address - Street 2:SUITE 1950
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-6125
Mailing Address - Country:US
Mailing Address - Phone:303-888-3205
Mailing Address - Fax:
Practice Address - Street 1:6535 S DAYTON ST
Practice Address - Street 2:SUITE 1950
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-6125
Practice Address - Country:US
Practice Address - Phone:303-888-3205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-14
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X, 103TB0200X, 103TA0400X, 101YP1600X, 103TF0200X, 103TF0000X, 103TM1800X
CO3473103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities