Provider Demographics
NPI:1801363619
Name:WATSON, CHERYL ANN (CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:ANN
Last Name:WATSON
Suffix:
Gender:F
Credentials:CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3232 MARCH LN
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-5466
Mailing Address - Country:US
Mailing Address - Phone:972-494-8301
Mailing Address - Fax:972-494-8702
Practice Address - Street 1:3232 MARCH LN
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-5466
Practice Address - Country:US
Practice Address - Phone:972-494-8301
Practice Address - Fax:972-494-8702
Is Sole Proprietor?:No
Enumeration Date:2018-10-30
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13145235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX13145OtherTEXAS STATE BOARD OF EXAMINERS OF SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY