| Ballard Avenue Psychiatry Pllc | |
|
5306 Ballard Ave Nw Ste 317 Seattle WA 98107-4366 | |
| (206) 455-9008 | |
| (437) 537-5124 |
| Full Name | Ballard Avenue Psychiatry Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5306 Ballard Ave Nw Ste 317, Seattle, Washington |
| Authorized Official Name and Position | Mary Lang-furr (OWNER/PSYCHIATRIST) |
| Authorized Official Contact | 2064559008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ballard Avenue Psychiatry Pllc 5306 Ballard Ave Nw Ste 317 Seattle WA 98107-4366 Ph: (206) 455-9008 | Ballard Avenue Psychiatry Pllc 5306 Ballard Ave Nw Ste 317 Seattle WA 98107-4366 Ph: (206) 455-9008 |
| NPI Number | 1720620644 |
|---|---|
| Provider Enumeration Date | 10/11/2019 |
| Last Update Date | 10/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720620644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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