Organization
LWD PSYCHOLOGY LLC
Active
Other names
LWD Psychology
Organization subpart
No
Provider details
NPI number
Authorized official
LANE DEWAN PSYD (CLINICAL PSYCHOLOGIST)
(503) 395-5122
Entity
Organization
Contact information
Practice address
7175 SW BEVELAND STREET, SUITE 200, TIGARD, OR 97223
(503) 395-5122
Mailing address
7175 SW BEVELAND STREET, SUITE 200, TIGARD, OR 97223
(503) 395-5122
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/02/2023
Last updated
01/02/2023
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