Eastside Behavioral Medicine

NPI #1952633737 in Bellevue, Washington

Provider Information

NPI Number: 1952633737
Entity Type: Organization
Organization Name: Eastside Behavioral Medicine
Primary Specialty: Psychologist
Enumeration Date: Feb 4, 2010
Last Updated: Feb 4, 2010

Practice Location

Address: 1601 114TH AVE SE
Address 2: SUITE 145
City: Bellevue
State: Washington
ZIP Code: 98004-6950
Phone: (425) 454-3110

Authorized Official

Name: DR. DARLA CAPETILLO, PHD
Title: OWNER
Phone: (425) 454-3110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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