Provider Demographics
NPI:1013170224
Name:WATSON, ALLYSON LEONTAY (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ALLYSON
Middle Name:LEONTAY
Last Name:WATSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:ALLYSON
Other - Middle Name:LEONTAY
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1055 W VICTORIA ST
Mailing Address - Street 2:
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90220-5804
Mailing Address - Country:US
Mailing Address - Phone:310-868-5379
Mailing Address - Fax:310-868-5398
Practice Address - Street 1:4625 PISTACHIO LN
Practice Address - Street 2:
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743-7352
Practice Address - Country:US
Practice Address - Phone:213-265-2699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-08
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist