National Provider Identifier Database

THEODORE D MANDELKORN, MD – NPI #1922167220
Developmental - Behavioral Pediatrics

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.


Contact Information

THEODORE D MANDELKORN, MD
2553 76TH AVE SE
MERCER ISLAND, WA98040-2758
Phone: 206-275-0702
Fax:
Website:
Specialty Taxonomy Code
* Developmental - Behavioral Pediatrics 2080P0006X

* Indicates primary specialty

NPI Profile & details for THEODORE D MANDELKORN

NPI Number 1922167220
Credentials MD
Entity Individual
Enumeration date 12/06/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • WA License #: MD00010762
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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