Deretic, Tatjana

Deretic, Tatjana is an sole proprietor health care provider with primary practice located at 1400 112Th Ave Se Ste. 100, Bellevue WA 98004-6901. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Deretic, Tatjana can be contacted via phone (425) 221-7427.

Contact Information

Primary practice address
1400 112Th Ave Se Ste. 100 Bellevue WA 98004-6901
Phone: (425) 221-7427
Fax: (425) 502-6092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD00043497 Washington
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD00043497 Washington

Profile Details

NPI number 1760418560
LBN Legal business name Deretic, Tatjana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2006
Last updated Feb 26th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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