Eastside Behavioral Medicine
Eastside Behavioral Medicine is a Psychologist in Bellevue, Washington. Licensed in Washington. Registered with an NPI since 2010.
- Licensed in
- WA
- In the registry since
- 2010
Practice location Address checks out
1601 114th Ave SE Ste 145Bellevue, WA 98004-6950
Phone: (425) 454-3110
Fax: (425) 283-0486
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X · Licence 602-967-118 (WA) |
|---|
Record details
| NPI number | 1952633737 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Darla Capetillo — Owner · (425) 454-3110 |
| NPI enumerated | February 4, 2010 |
| Last updated in NPPES | February 4, 2010 |
| Mailing address | 1601 114th Ave Se, Suite 145, Bellevue, WA 98004-6950 |
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