Healthcare Provider Details

I. General information

NPI: 1952809832
Provider Name (Legal Business Name): APT Resilience, Seattle Psychology, Hallowell Todaro ADHD Center
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2018
Last Update Date: 01/25/2018
Certification Date: HALLOWELL TODARO CENTER, 5502 34TH AVENUE NORTHEAST, SEATTLE, WA, 98105, UNITED STATES (206) 420-7345 INFO@HALLOWELLTODAROCENTER.ORG
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5502 34th Ave. NE
SEATTLE WA
98105
US

IV. Provider business mailing address

5502 34th Ave. NE
SEATTLE WA
98105
US

V. Phone/Fax

Practice location:
  • Phone: 206-420-7345
  • Fax:
Mailing address:
  • Phone: 206-420-7345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: