Magnolia Psychiatry, LLC
NPI #1003346594 in Bellevue, Washington
Provider Information
- NPI Number
- 1003346594
- Entity Type
- Organization
- Organization Name
- Magnolia Psychiatry, LLC
- Primary Specialty
- Psychiatry & Neurology - Addiction Psychiatry
- Enumeration Date
- Jun 15, 2017
- Last Updated
- Apr 17, 2019
Practice Location
- Address
- 12729 NORTHUP WAY STE 6
- City
- Bellevue
- State
- Washington
- ZIP Code
- 98005-1935
- Phone
- (425) 467-1000
Authorized Official
- Name
- MARC DAVID PELLICCIARO, MD
- Title
- PSYCHIATRIST
- Phone
- (425) 467-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Addiction Psychiatry — Addiction Psychiatry |
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