Dr. Ellis Luca Black is a Seattle, Washington based psychiatrist who is specialized in Child & Adolescent. Active license number of Dr. Ellis Luca Black is MD60937058 for Psychiatry in Washington. Her current practice location is 2711 E Madison St Ste 204, Seattle. Patients can reach her at 206-984-3924 or can fax her at 206-339-1776. Dr. Ellis Luca Black is MD in Child & Adolescent and her NPI number (Unique professional ID assigned by NPPES) is 1013395904. Dr. Ellis Luca Black has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
Dr. Ellis Luca Black speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Ellis Luca Black
Specialization:
Child & Adolescent
Gender:
Female
Credentials:
MD
Practice Address:
2711 E Madison St Ste 204, Seattle, Washington, 98112-4763
Phone:
206-984-3924
Fax:
206-339-1776
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1013395904
NPI Enumeration Date:
11 May, 2015
NPI Last Update On:
11 Mar, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ellis Luca Black are as mentioned below.
License Number
Specialization
State
Status
MD60937058
Psychiatry
Washington
Primary
MD60937058
Child & Adolescent
Washington
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Ellis Luca Black 2711 E Madison St Ste 204, Seattle, Washington
Zip:
98112-4763
Phone Number:
206-984-3924
Fax Number:
206-339-1776
Patients can reach Dr. Ellis Luca Black at 2711 E Madison St Ste 204, Seattle, Washington or can call to book an appointment on 206-984-3924.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.