institution
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. You can also correspond with Southlake Psychiatric Center through the mailing address at 1400 TALBOT RD S, RENTON, WA - 98055-4291 (mailing address contact number: 425-235-7383).

Location: 1400 Talbot Rd S, Renton, WA, 98055-4291
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
State
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
State
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
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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