| Eastside Anxiety Pllc | |
|
2105 112th Ave Ne Ste 201 Bellevue WA 98004-2945 | |
| (425) 968-5948 | |
| Not Available |
| Full Name | Eastside Anxiety Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2105 112th Ave Ne Ste 201, Bellevue, Washington |
| Authorized Official Name and Position | Nancy Wagner (OWNER) |
| Authorized Official Contact | 4259685948 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastside Anxiety Pllc 2105 112th Ave Ne Ste 201 Bellevue WA 98004-2945 Ph: () - | Eastside Anxiety Pllc 2105 112th Ave Ne Ste 201 Bellevue WA 98004-2945 Ph: (425) 968-5948 |
| NPI Number | 1063145332 |
|---|---|
| Provider Enumeration Date | 07/05/2022 |
| Last Update Date | 07/05/2022 |
| Certification Date | 07/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063145332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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