| Executive Psychiatry Group Pllc | |
|
6029 122nd Pl Sw Mukilteo WA 98275-5578 | |
| (818) 568-4022 | |
| Not Available |
| Full Name | Executive Psychiatry Group Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6029 122nd Pl Sw, Mukilteo, Washington |
| Authorized Official Name and Position | Nicholas Tamoria (OWNER) |
| Authorized Official Contact | 4256262419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Executive Psychiatry Group Pllc 100 N Howard St # 5667 Spokane WA 99201-0508 Ph: (425) 626-2419 | Executive Psychiatry Group Pllc 6029 122nd Pl Sw Mukilteo WA 98275-5578 Ph: (818) 568-4022 |
| NPI Number | 1235986092 |
|---|---|
| Provider Enumeration Date | 05/01/2024 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235986092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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