Provider Demographics
NPI:1043415813
Name:WATSON, ZACHARY HALL (LHIS, LICENSED HEARI)
Entity Type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:HALL
Last Name:WATSON
Suffix:
Gender:M
Credentials:LHIS, LICENSED HEARI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4008 UNIVERSITY DR NW
Mailing Address - Street 2:SUITE B
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35816-3002
Mailing Address - Country:US
Mailing Address - Phone:256-722-5299
Mailing Address - Fax:256-722-5298
Practice Address - Street 1:4008 UNIVERSITY DR NW
Practice Address - Street 2:SUITE B
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35816-3002
Practice Address - Country:US
Practice Address - Phone:256-722-5299
Practice Address - Fax:256-722-5298
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2147237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist