Individual
TATJANA DERETIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 112TH AVE SE, STE. 100, BELLEVUE, WA 98004-6901
(425) 221-7427
(425) 502-6092
Mailing address
1400 112TH AVE SE, STE. 100, BELLEVUE, WA 98004-6901
(425) 221-7427
(425) 502-6092
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD00043497
WA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD00043497
WA
Other
Enumeration date
06/23/2006
Last updated
02/26/2015
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