NPI 1174736334

Charles Martin Bullard, LICSW

Practitioner Psychoanalyst Seattle, WA

Practice location

Address: 2206 Queen Anne Ave N #203, Seattle, WA 98109-2370
Phone: (206) 283-4360

Registered specialties

Psychoanalyst Primary

Behavioral Health & Social Service Providers Taxonomy 102L00000X Licence 020704-LW00006183 (WA)

Other Psychoanalyst providers in Washington →

Registry record

NPI: 1174736334
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.