Provider Demographics
NPI:1285809806
Name:WATT, WIOLETTA M (MA-PSYCHOLOGY)
Entity type:Individual
Prefix:MRS
First Name:WIOLETTA
Middle Name:M
Last Name:WATT
Suffix:
Gender:F
Credentials:MA-PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4-1579 KUHIO HWY
Mailing Address - Street 2:SUITE 201A
Mailing Address - City:KAPAA
Mailing Address - State:HI
Mailing Address - Zip Code:96746-1859
Mailing Address - Country:US
Mailing Address - Phone:808-821-0574
Mailing Address - Fax:808-822-2109
Practice Address - Street 1:4-1579 KUHIO HWY
Practice Address - Street 2:SUITE 201A
Practice Address - City:KAPAA
Practice Address - State:HI
Practice Address - Zip Code:96746-1859
Practice Address - Country:US
Practice Address - Phone:808-821-0574
Practice Address - Fax:808-822-2109
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health