Provider Demographics
NPI:1861206765
Name:WATTERS, SHA'LEE
Entity type:Individual
Prefix:
First Name:SHA'LEE
Middle Name:
Last Name:WATTERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:429 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-2350
Mailing Address - Country:US
Mailing Address - Phone:412-319-7371
Mailing Address - Fax:888-271-0474
Practice Address - Street 1:429 WASHINGTON AVE STE 3
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-2350
Practice Address - Country:US
Practice Address - Phone:412-319-7371
Practice Address - Fax:888-271-0474
Is Sole Proprietor?:No
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician