Southlake Psychiatric Center is a Psychiatry | Child & Adolescent Clinic in Renton, Washington. It is located at 1400 Talbot Rd S, Suite 203, Renton, WA and its contact number is 425-235-7383. The authorized person for Southlake Psychiatric Center is Dr. John Edward Dunne
who is Owner of the clinic and his/her contact number is 425-235-7383. The primary license number for Southlake Psychiatric Center is 14418 (Child & Adolescent Psychiatry) in Washington. Southlake Psychiatric Center Clinic has mental health professionals having additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Clinic Profile:
Southlake Psychiatric Center Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Southlake Psychiatric Center
Specialization:
Child & Adolescent
Clinic Address:
1400 Talbot Rd S, Suite 203, Renton, Washington, 98055-4291
Phone:
425-235-7383
Fax:
425-228-2169
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. John Edward Dunne
Position:
Owner
Contact Number:
425-235-7383
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 for Southlake Psychiatric Center clinic are as mentioned below.
NPI Number:
1871651042
NPI Enumeration Date:
04 Dec, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southlake Psychiatric Center are as mentioned below.
Specialization
License Number
State
Status
Child & Adolescent Psychiatry
14418
Washington
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0191845
Other
Washington
L & I
1228600
Medicaid
Washington
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Southlake Psychiatric Center 1400 Talbot Rd S, Suite 203 Renton, Washington
Zip:
98055-4291
Phone Number:
425-235-7383
Fax Number:
425-228-2169
Patients can reach Southlake Psychiatric Center at 1400 Talbot Rd S, Suite 203, Renton, Washington or can call to book an appointment on 425-235-7383. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.