| Swedish Edmonds Psychiatric Service | |
|
21601 76th Ave W Edmonds WA 98026-7507 | |
| (425) 640-4000 | |
| (425) 640-4455 |
| Full Name | Swedish Edmonds Psychiatric Service |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 21601 76th Ave W, Edmonds, Washington |
| Authorized Official Name and Position | Vicki S Farretta (MANAGER) |
| Authorized Official Contact | 4256733374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Swedish Edmonds Psychiatric Service Po Box 91000 Edmonds WA 98026-2100 Ph: (425) 673-3374 | Swedish Edmonds Psychiatric Service 21601 76th Ave W Edmonds WA 98026-7507 Ph: (425) 640-4000 |
| NPI Number | 1043428352 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 08/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043428352 | NPI | - | NPPES |
| 7060486 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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