Provider Demographics
NPI:1710315759
Name:WATKINS, JOCELYN
Entity Type:Individual
Prefix:MRS
First Name:JOCELYN
Middle Name:
Last Name:WATKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 CLIFTON ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-5217
Mailing Address - Country:US
Mailing Address - Phone:202-673-7385
Mailing Address - Fax:202-232-2326
Practice Address - Street 1:1200 CLIFTON ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-5217
Practice Address - Country:US
Practice Address - Phone:202-673-7385
Practice Address - Fax:202-232-2326
Is Sole Proprietor?:No
Enumeration Date:2013-10-30
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool