Provider Demographics
NPI:1548425317
Name:WATSON, LINDA (LPC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:WATSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 HOOK DR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08848-1538
Mailing Address - Country:US
Mailing Address - Phone:908-507-7522
Mailing Address - Fax:908-995-7319
Practice Address - Street 1:6 MINNEAKONING RD
Practice Address - Street 2:FLEMINGTON CENTER
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-5728
Practice Address - Country:US
Practice Address - Phone:908-507-7522
Practice Address - Fax:908-995-7319
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-22
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00375100101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional