| Dba: Swedish Edmonds Psychiatric Services | |
|
21601 76th Ave W. Edmonds WA 98026-2100 | |
| (425) 640-4000 | |
| (425) 640-4450 |
| Full Name | Dba: Swedish Edmonds Psychiatric Services |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 21601 76th Ave W., Edmonds, Washington |
| Authorized Official Name and Position | Daniel T Harris (CFO) |
| Authorized Official Contact | 2063866000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba: Swedish Edmonds Psychiatric Services Po Box 84026 Seattle WA 98124-8426 Ph: (425) 673-3374 | Dba: Swedish Edmonds Psychiatric Services 21601 76th Ave W. Edmonds WA 98026-2100 Ph: (425) 640-4000 |
| NPI Number | 1053626465 |
|---|---|
| Provider Enumeration Date | 08/10/2010 |
| Last Update Date | 09/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053626465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Secondary |
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