Provider Demographics
NPI:1679860985
Name:WATSON, JOSHUA (LMFT)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:
Last Name:WATSON
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1071 POST RD E STE 202
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-5361
Mailing Address - Country:US
Mailing Address - Phone:203-530-2190
Mailing Address - Fax:
Practice Address - Street 1:1071 POST RD E STE 202
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-5361
Practice Address - Country:US
Practice Address - Phone:203-530-2190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-07
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1453174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist