Organization
MARKET STREET PSYCHOTHERAPY, P S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB JEREMY MARKOVITZ MD (OWNER/OPERATOR)
(206) 403-1374
Entity
Organization
Contact information
Practice address
2208 NW MARKET ST STE 513, SEATTLE, WA 98107-4098
(206) 403-1374
(206) 844-2337
Mailing address
2208 NW MARKET ST STE 513, SEATTLE, WA 98107-4098
(206) 403-1374
(206) 844-2337
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD60484101
WA
261QM0850X
Adult Mental Health Clinic/Center
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Other
Enumeration date
06/07/2018
Last updated
10/07/2024
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