Provider Demographics
NPI:1396163218
Name:WATSON, NAOJI ANDREW (PSYD)
Entity type:Individual
Prefix:DR
First Name:NAOJI
Middle Name:ANDREW
Last Name:WATSON
Suffix:
Gender:M
Credentials:PSYD
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Mailing Address - Street 1:224D CORNWALL ST NW STE 403
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-2704
Mailing Address - Country:US
Mailing Address - Phone:703-737-6010
Mailing Address - Fax:571-291-2786
Practice Address - Street 1:7921 JONES BRANCH DRIVE, SUITE 311
Practice Address - Street 2:
Practice Address - City:MCLEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-3334
Practice Address - Country:US
Practice Address - Phone:703-772-4428
Practice Address - Fax:571-384-6309
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-29
Last Update Date:2023-12-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0810004960103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1396163218Medicaid