Provider Demographics
NPI:1164023867
Name:WATSON, SANCHEZ, & NAVARRO PSYCHOLOGICAL GROUP INC
Entity Type:Organization
Organization Name:WATSON, SANCHEZ, & NAVARRO PSYCHOLOGICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:MANUEL
Authorized Official - Last Name:NAVARRO
Authorized Official - Suffix:JR
Authorized Official - Credentials:PSYD
Authorized Official - Phone:951-264-2164
Mailing Address - Street 1:270 E 7TH ST STE 1C
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-6602
Mailing Address - Country:US
Mailing Address - Phone:951-264-2164
Mailing Address - Fax:
Practice Address - Street 1:270 E 7TH ST STE 1C
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-6602
Practice Address - Country:US
Practice Address - Phone:951-264-2164
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-08
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty