Provider Demographics
NPI:1316722655
Name:WATSON, LEAH MARIE (PSYD)
Entity type:Individual
Prefix:DR
First Name:LEAH
Middle Name:MARIE
Last Name:WATSON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:466 SOUTHERN BLVD
Mailing Address - Street 2:JEFFERSON BUILDING, THIRD FLOOR
Mailing Address - City:CHATHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07928-1462
Mailing Address - Country:US
Mailing Address - Phone:973-370-9944
Mailing Address - Fax:
Practice Address - Street 1:466 SOUTHERN BLVD
Practice Address - Street 2:JEFFERSON BUILDING, THIRD FLOOR
Practice Address - City:CHATHAM
Practice Address - State:NJ
Practice Address - Zip Code:07928-1462
Practice Address - Country:US
Practice Address - Phone:973-370-9944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ233043103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical