Dr. Ellis Luca Black, MD
Dr. Ellis Luca Black, MD is a Child & Adolescent Psychiatry Physician in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2015.
- Licensed in
- WA
- In the registry since
- 2015
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2711 E Madison St Ste 204Seattle, WA 98112-4763
Phone: (206) 984-3924
Fax: (206) 339-1776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence MD60937058 (WA) |
|---|---|
| Child & Adolescent Psychiatry Physician | Taxonomy 2084P0804X · Licence MD60937058 (WA) |
Record details
| NPI number | 1013395904 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 11, 2015 |
| Last updated in NPPES | March 11, 2024 |
| Certification date | March 11, 2024 |
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