Provider Demographics
NPI:1235862731
Name:WATSON, CHERI (MHA)
Entity Type:Individual
Prefix:MRS
First Name:CHERI
Middle Name:
Last Name:WATSON
Suffix:
Gender:F
Credentials:MHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:546 CHAPEL CROSS DR
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63031-1674
Mailing Address - Country:US
Mailing Address - Phone:314-395-1486
Mailing Address - Fax:636-333-0029
Practice Address - Street 1:546 CHAPEL CROSS DR
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031-1674
Practice Address - Country:US
Practice Address - Phone:314-395-1486
Practice Address - Fax:636-333-0029
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-03
Last Update Date:2022-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Y00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health Information