Provider Demographics
NPI:1538391909
Name:WATSON, CHRISTINA M (PSYCHOLOGIST)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:M
Last Name:WATSON
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7825 FAY AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-4270
Mailing Address - Country:US
Mailing Address - Phone:858-342-4262
Mailing Address - Fax:
Practice Address - Street 1:7825 FAY AVE STE 200
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-4270
Practice Address - Country:US
Practice Address - Phone:858-342-4262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-18
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY19976103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical