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Bellevue Clinic For Behavioral Health
Prescribing (Medical) Psychologist in Bellevue, Washington
NPI 1124481783

Bellevue Clinic For Behavioral Health is a Prescribing (Medical) Psychologist based in Bellevue, WA and is specialized in Prescribing (Medical). Bellevue Clinic For Behavioral Health practices in Bellevue, WA. The NPI Number for Bellevue Clinic For Behavioral Health is 1124481783 and holds a License No. MD00045130 (Washington).

The current practice location address for Bellevue Clinic For Behavioral Health is 2105 112Th Ave Ne, Bellevue, WA and can be reached out via phone at 253-347-2665. You can also correspond with Bellevue Clinic For Behavioral Health through the mailing address at 2105 112TH AVE NE, BELLEVUE, WA - 98004-2945 (mailing address contact number: ).

Location: 2105 112Th Ave Ne, Bellevue, WA, 98004-2945
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124481783
Provider Name
Bellevue Clinic For Behavioral Health
Credential
Provider Entity Type
Organization
Address
2105 112Th Ave Ne, Bellevue, WA, 98004-2945
Phone Number
253-347-2665
Fax Number
Provider Enumeration Date
03/31/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2105 112Th Ave Ne
City
Bellevue
State
Washington
Zip
98004-2945
Phone Number
253-347-2665
Fax Number
person
Provider Business Mailing Address Details
Address
2105 112Th Ave Ne
City
Bellevue
State
Washington
Zip
98004-2945
Phone Number
253-347-2665
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
MD00045130 (Washington)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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