| Patricia Fantoni-salvador, Ph.d., Llc. | |
|
10740 Meridian Ave N Ste 110 Seattle WA 98133-9010 | |
| (206) 257-1061 | |
| (206) 257-1061 |
| Full Name | Patricia Fantoni-salvador, Ph.d., Llc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10740 Meridian Ave N Ste 110, Seattle, Washington |
| Authorized Official Name and Position | Patricia Fantoni-salvador (MANAGER) |
| Authorized Official Contact | 2062571061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Fantoni-salvador, Ph.d., Llc. 10002 Aurora Ave N Ste 36 Seattle WA 98133-9348 Ph: (206) 257-1061 | Patricia Fantoni-salvador, Ph.d., Llc. 10740 Meridian Ave N Ste 110 Seattle WA 98133-9010 Ph: (206) 257-1061 |
| NPI Number | 1518264407 |
|---|---|
| Provider Enumeration Date | 02/11/2011 |
| Last Update Date | 02/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518264407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PY 60199015 (Washington) | Primary |
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