Tatjana Deretic in Bellevue - Child & Adolescent Psychiatry
Tatjana Deretic - NPI 1760418560
Tatjana Deretic is a Child & Adolescent Psychiatry in Bellevue, Washington. Tatjana Deretic practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Tatjana Deretic is 1760418560. The last update date is 2015-02-26.
Tatjana Deretic's current location address is 1400 112th Ave Se, Bellevue, Washington. You can contact this provider via phone number 4252217427 and fax number 4255026092. The mailing address for Tatjana Deretic is 1400 112th Ave Se, Bellevue, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tatjana Deretic |
|---|---|
| Address | 1400 112th Ave Se, Bellevue, Washington |
| Phone Number | 4252217427 |
| Fax Number | 4255026092 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1760418560 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2015-02-26 |
Provider Mailing Address Detail
| Address | 1400 112th Ave Se |
|---|---|
| City | Bellevue |
| State | Washington (WA) |
| Post Code | 980046901 |
| Phone Number | 4252217427 |
| Fax Number | 4255026092 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | MD00043497 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Post Comment/ Review Below
What is the unique identifier code issued to Tatjana Deretic by the Centers for Medicare & Medicaid Services?
The Tatjana Deretic has been assigned the NPI (National Provider Identifier) 1760418560. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Tatjana Deretic's facilities are situated?
The facilities of Tatjana Deretic are physically located at the following address: 1400 112Th Ave Se, Bellevue, WA, 980046901.
What is the Tatjana Deretic's specialty and taxonomy code?
The Tatjana Deretic's specialty is Child & Adolescent Psychiatry, and the corresponding taxonomy code is 2084P0804X.
On what date did the Centers for Medicare & Medicaid Services issue the 1760418560 to Tatjana Deretic?
The Tatjana Deretic received its 1760418560 assignment from the Centers for Medicare & Medicaid Services on 2006-06-23.
As of what date were the details pertaining to Tatjana Deretic last refreshed?
The information related to the Tatjana Deretic, including its address, specialty, and other relevant details, was last updated on 2015-02-26.