MEDICARE: DR. DANIEL WARTENBERG PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist
2	103TC0700X	Clinical Psychologist	PY61602457	WA
3	103TC0700X	Clinical Psychologist	002244	CT

General Provider Information

NPI Number	:	1194855858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL WARTENBERG PSYD

Provider Business Mailing Address
First Line	:	1455 NW LEARY WAY STE 400
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-5138
Country	:	US
Telephone Number	:	818-446-2522
Fax Number	:

Provider Business Practice Location Address
First Line	:	1455 NW LEARY WAY STE 400
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-5138
Country	:	US
Telephone Number	:	818-446-2522
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	07/31/2025

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