Provider Demographics
NPI:1841752706
Name:WATSON, EMILY S
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:S
Last Name:WATSON
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:EMILY
Other - Middle Name:S
Other - Last Name:NEGRETE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1650 E CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-4165
Mailing Address - Country:US
Mailing Address - Phone:316-308-4184
Mailing Address - Fax:316-352-9315
Practice Address - Street 1:1650 E CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-4165
Practice Address - Country:US
Practice Address - Phone:316-308-4184
Practice Address - Fax:316-352-9315
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-01
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician