SHANNON WATSON
NPI 1689045429
Psychologist - Health Service in Holly Hill, SC
- Individual
- Female
- Psychologist
- Health Service
About SHANNON WATSON
This page provides the complete NPI Profile along with additional information for Shannon Watson, a provider established in Holly Hill, South Carolina with a medical specialization in Psychologist, focusing in health service . The healthcare provider is registered in the NPI registry with number 1689045429 assigned on October 2015. The practitioner's primary taxonomy code is 103TH0100X. The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1689045429 Verify this NPI
- Provider Name
- SHANNON WATSON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1061 BAYVIEW ST HOLLY HILL, SC 29059
- Location Phone
- (803) 971-0689
- Mailing Address
- 1061 BAYVIEW ST HOLLY HILL, SC 29059
- Mailing Phone
- (803) 971-0689
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-19-2015
- Last Update Date
- 10-19-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Health Service
- Taxonomy Code
- 103TH0100X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689045429, enumerated as an "individual" on October 19, 2015.
The provider is located at 1061 BAYVIEW ST HOLLY HILL, SC 29059 and the phone number is (803) 971-0689.
Psychologist with taxonomy code 103TH0100X and a focus in Health Service.
