| Puget Sound Psychiatric Center | |
|
10634 E Riverside Dr Ste. 130 Bothell WA 98011-3757 | |
| (425) 806-5021 | |
| (425) 486-3949 |
| Full Name | Puget Sound Psychiatric Center |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 10634 E Riverside Dr, Bothell, Washington |
| Authorized Official Name and Position | Syed Jamal Mustafe (PSYCHIATRIST) |
| Authorized Official Contact | 4258065021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Puget Sound Psychiatric Center 10634 E Riverside Dr Ste. 130 Bothell WA 98011-3757 Ph: (425) 806-5021 | Puget Sound Psychiatric Center 10634 E Riverside Dr Ste. 130 Bothell WA 98011-3757 Ph: (425) 806-5021 |
| NPI Number | 1841677655 |
|---|---|
| Provider Enumeration Date | 04/30/2015 |
| Last Update Date | 04/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841677655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | TR60487106 (Washington) | Primary |
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Pspc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 10634 E Riverside Dr, Suite 130, Bothell, WA 98011 Phone: 425-806-5021 Fax: 425-486-3949 | |
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