| Dr. Desey Tziortzis, Llc | |
|
5306 Ballard Ave Nw Ste 321 Seattle WA 98107-4366 | |
| (323) 459-8050 | |
| Not Available |
| Full Name | Dr. Desey Tziortzis, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 5306 Ballard Ave Nw Ste 321, Seattle, Washington |
| Authorized Official Name and Position | Desey Tziortzis (OWNER/LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 3234598050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Desey Tziortzis, Llc 5306 Ballard Ave Nw Ste 321 Seattle WA 98107-4366 Ph: (323) 459-8050 | Dr. Desey Tziortzis, Llc 5306 Ballard Ave Nw Ste 321 Seattle WA 98107-4366 Ph: (323) 459-8050 |
| NPI Number | 1699241208 |
|---|---|
| Provider Enumeration Date | 10/22/2018 |
| Last Update Date | 10/22/2018 |
| Medicare PECOS PAC ID | 5092050559 |
|---|---|
| Medicare Enrollment ID | O20190103000190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699241208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Desey Tziortzis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730375221 PECOS PAC ID: 8224394473 Enrollment ID: I20171103002986 |
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