Marie M. Watson, CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2527-154 Issued in WI

Practice address

1901 4TH Ave
School of Communicative Disorders
Stevens Point, WI 54481-1909

Phone

(715) 346-2072

Fax

(715) 346-2157

NPI assigned

Apr 23, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University of Wisconsin System Non Payroll

  • Audiologist
  • Stevens Point, WI
  • NPI 1003952805

  Speech-Language Pathologist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1457526360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 4TH AVE",
            "address_2": "SCHOOL OF COMMUNICATIVE DISORDERS",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811909",
            "telephone_number": "715-346-2072",
            "fax_number": "715-346-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 4TH AVE",
            "address_2": "SCHOOL OF COMMUNICATIVE DISORDERS",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811909",
            "telephone_number": "715-346-2072",
            "fax_number": "715-346-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MARIE",
        "middle_name": "M.",
        "credential": "CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "2527-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.