MR. Charles Martin Bullard, LICSW
NPI #1174736334 in Seattle, Washington
Provider Information
- NPI Number
- 1174736334
- Entity Type
- Individual
- Name
- MR. Charles Martin Bullard, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychoanalyst
- Credential
- LICSW
- Enumeration Date
- May 7, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2206 QUEEN ANNE AVE N
- Address 2
- #203
- City
- Seattle
- State
- Washington
- ZIP Code
- 98109-2370
- Phone
- (206) 283-4360
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychoanalyst |
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