Provider Demographics
NPI:1689296980
Name:WATSON-SINGLETON, NATALIE N (PHD)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:N
Last Name:WATSON-SINGLETON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2124 CHESHIRE BRIDGE RD NE APT 4112
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-5733
Mailing Address - Country:US
Mailing Address - Phone:408-892-6835
Mailing Address - Fax:
Practice Address - Street 1:2124 CHESHIRE BRIDGE RD NE APT 4112
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-5733
Practice Address - Country:US
Practice Address - Phone:408-892-6835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-11
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY004352103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical