Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southlake Psychiatric Center

Organization Child & Adolescent Psychiatry Physician · NPI 1871651042

Southlake Psychiatric Center is a Child & Adolescent Psychiatry Physician in Renton, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006

Practice location Address checks out

1400 Talbot Rd S Ste 203
Renton, WA 98055-4291
Phone: (425) 235-7383
Fax: (425) 228-2169
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 14418 (WA)

Record details

NPI number1871651042
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Dunne — Owner · (425) 235-7383
NPI enumeratedDecember 4, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1400 Talbot Rd S, Suite 203, Renton, WA 98055-4291

Other providers in Renton