Provider Demographics
NPI:1467602177
Name:MCPHERSON-WATSON, RENEE DAWN (PHD)
Entity type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:DAWN
Last Name:MCPHERSON-WATSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MRS
Other - First Name:RENEE
Other - Middle Name:DAWN
Other - Last Name:MCPHERSON-SALANDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:554 2 NW 55 TERRACE
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073
Mailing Address - Country:US
Mailing Address - Phone:954-263-1996
Mailing Address - Fax:
Practice Address - Street 1:554 2 NW 55 TERRACE
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073
Practice Address - Country:US
Practice Address - Phone:954-263-1996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-30
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7656103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist