Madison Bertolin
Clinical Psychologist
415 1st Ave N Ste 200
Seattle
, Washington 98109-4765
Madison Bertolin
Clinical Psychologist
415 1st Ave N Ste 200
Seattle
, Washington 98109-4765
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Madison Bertolin
- 415 1st Ave N Ste 200
- Seattle, WA
- Zip : 98109-4765
- Phone :
Second Address
- Madison Bertolin
- 415 1st Ave N Ste 200
- Seattle, WA
- Zip : 98109-4765
- Phone : (206) 859-5030
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | ||
| Y | 103TC0700X | Clinical Psychologist |
National Provider Identifier
| NPI | 1003429721 |
|---|---|
| Provider Name | Madison Bertolin |
| First Address | Seattle, WA 98109-4765 |
| Second Address | Seattle, WA 98109-4765 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/08/2020 |
| Last Update Date | 24/08/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.