Provider Demographics
NPI:1376696401
Name:TERRI S. WATSON, PSY.D., L.L.C.
Entity Type:Organization
Organization Name:TERRI S. WATSON, PSY.D., L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:847-275-7106
Mailing Address - Street 1:3100 W HIGGINS RD STE 195
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-7253
Mailing Address - Country:US
Mailing Address - Phone:847-275-7106
Mailing Address - Fax:630-538-7403
Practice Address - Street 1:3100 W HIGGINS RD
Practice Address - Street 2:SUITE 195
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60195-5251
Practice Address - Country:US
Practice Address - Phone:847-275-7106
Practice Address - Fax:847-310-8600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-20
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071004732103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty