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Magnolia Psychiatry, Llc
Addiction Psychiatry Physician in Bellevue, Washington
NPI 1003346594

Magnolia Psychiatry, Llc is an Addiction Psychiatry Physician based in Bellevue, WA and is specialized in Addiction Psychiatry. Magnolia Psychiatry, Llc practices in Bellevue, WA. The NPI Number for Magnolia Psychiatry, Llc is 1003346594 and holds a License No. MD00036813 (Washington).

The current practice location address for Magnolia Psychiatry, Llc is 12729 Northup Way Ste 6, Bellevue, WA and can be reached out via phone at 425-467-1000 and via fax at 425-467-0100.

Location: 12729 Northup Way Ste 6, Bellevue, WA, 98008-1239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003346594
Provider Name
Magnolia Psychiatry, Llc
Credential
Provider Entity Type
Organization
Address
12729 Northup Way Ste 6, Bellevue, WA, 98008-1239
Phone Number
425-467-1000
Fax Number
425-467-0100
Provider Enumeration Date
06/15/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MD00036813 01 WA WASHINGTON STATE MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
12729 Northup Way Ste 6
City
Bellevue
State
Washington
Zip
98005-1935
Phone Number
425-467-1000
Fax Number
425-467-0100
person
Provider Business Mailing Address Details
Address
12729 Northup Way Ste 6
City
Bellevue
State
Washington
Zip
98005-1935
Phone Number
425-467-1000
Fax Number
425-467-0100
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Psychiatry
Taxonomy
2084P0802X
License No.
MD00036813 (Washington)
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
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