Dr. ELLIS LUCA BLACK MD
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Psychiatry
Provider Information
- NPI Number
1013395904- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 2711 E MADISON ST STE 204, SEATTLE, WA, 981124763
- Phone
- (206) 984-3924
- Fax
- (206) 339-1776
Specialties & Taxonomies
Psychiatry & Neurology, Child & Adolescent Psychiatry
License: WA #MD60937058
Psychiatry & Neurology, Psychiatry
Primary License: WA #MD60937058