| Bellevue Clinic For Behavioral Health | |
|
2105 112th Ave Ne Suite 201 Bellevue WA 98004-2945 | |
| (253) 347-2665 | |
| Not Available |
| Full Name | Bellevue Clinic For Behavioral Health |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 2105 112th Ave Ne, Bellevue, Washington |
| Authorized Official Name and Position | Osama Bankesly (PRESIDENT) |
| Authorized Official Contact | 2064038814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellevue Clinic For Behavioral Health 2105 112th Ave Ne Suite 201 Bellevue WA 98004-2945 Ph: () - | Bellevue Clinic For Behavioral Health 2105 112th Ave Ne Suite 201 Bellevue WA 98004-2945 Ph: (253) 347-2665 |
| NPI Number | 1124481783 |
|---|---|
| Provider Enumeration Date | 03/31/2016 |
| Last Update Date | 03/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124481783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | MD00045130 (Washington) | Primary |
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