Individual
DR. LANE VAN DER SLUIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PSY D
Contact information
Practice address
2904 MAIN ST, VANCOUVER, WA 98663-2722
(360) 695-8332
(360) 263-5911
Mailing address
PO BOX 213, LA CENTER, WA 98629-0213
(360) 695-8332
(360) 263-5911
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00001784
WA
Other
Enumeration date
11/25/2005
Last updated
07/08/2007
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