Provider Demographics
NPI:1154861284
Name:WATSON, MICHAEL II (PHD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:WATSON
Suffix:II
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 E SAN MATEO DR
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS NATIONAL PARK
Mailing Address - State:AR
Mailing Address - Zip Code:71913-6764
Mailing Address - Country:US
Mailing Address - Phone:501-258-8503
Mailing Address - Fax:
Practice Address - Street 1:202 E SAN MATEO DR
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS NATIONAL PARK
Practice Address - State:AR
Practice Address - Zip Code:71913-6764
Practice Address - Country:US
Practice Address - Phone:501-258-8503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-08
Last Update Date:2025-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPL202324103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist