Organization
SHANACHIE PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS WARREN LANE PHD (PSYCHOLOGIST)
(626) 842-0383
Entity
Organization
Contact information
Practice address
748 MARKET ST # 314, TACOMA, WA 98402-3737
(626) 842-0383
Mailing address
PO BOX 7182, TACOMA, WA 98417-0182
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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