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Southlake Psychiatric Center
Child & Adolescent Psychiatry Physician in Renton, Washington
NPI 1871651042

Southlake Psychiatric Center is a Child & Adolescent Psychiatry Physician based in Renton, WA and is specialized in Child & Adolescent Psychiatry. Southlake Psychiatric Center practices in Renton, WA. The NPI Number for Southlake Psychiatric Center is 1871651042 and holds a License No. 14418 (Washington).

The current practice location address for Southlake Psychiatric Center is 1400 Talbot Rd S, Renton, WA and can be reached out via phone at 425-235-7383 and via fax at 425-228-2169.

Location: 1400 Talbot Rd S, Renton, WA, 98055-4291
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871651042
Provider Name
Southlake Psychiatric Center
Credential
Provider Entity Type
Organization
Address
1400 Talbot Rd S, Renton, WA, 98055-4291
Phone Number
425-235-7383
Fax Number
425-228-2169
Provider Enumeration Date
12/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0191845 01 WA L & I
1228600 05 WA
institution
Provider Business Practice Location Address Details
Address
1400 Talbot Rd S
City
Renton
State
Washington
Zip
98055-4291
Phone Number
425-235-7383
Fax Number
425-228-2169
person
Provider Business Mailing Address Details
Address
1400 Talbot Rd S
City
Renton
State
Washington
Zip
98055-4291
Phone Number
425-235-7383
Fax Number
425-228-2169
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
2084P0804X
License No.
14418 (Washington)
Definition
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.
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