Organization · Type 2 NPI
Southlake Psychiatric Center
Child & Adolescent Psychiatry Physician · Renton, WA
NPI number
1871651042
Active
Practice location
1400 Talbot Rd S, Suite 203
Renton, WA 98055-4291
Fax (425) 228-2169
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatry Physician Primary | 2084P0804X | 14418 (WA) |
Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
About NPI 1871651042
Southlake Psychiatric Center's National Provider Identifier is 1871651042, issued on Dec 4, 2006. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Renton, WA. The record was last updated on Aug 22, 2020.