Individual provider · Type 1 NPI

Betty Teresa Peralta

Student in an Organized Health Care Education/Training Program · Bellevue, WA

NPI number 1114366697 Active

Practice location

14270 NE 21st St, Rainbow Creek
Bellevue, WA 98007-3720

Call (425) 653-5000 Map

Fax (425) 653-5010

Mailing address

1600 E Olive St, Sound Mental Health
Seattle, WA 98122-2735

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114366697

Betty Teresa Peralta's National Provider Identifier is 1114366697, issued on Jun 18, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bellevue, WA. The record was last updated on Jun 18, 2013.