Individual
LANE A GERBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
901 12TH AVE, SEATTLE UNIVERSITY, DEPT OF PSYCHOLOGY, SEATTLE, WA 98122-1090
(206) 522-5514
Mailing address
6500 50TH AVE NE, SEATTLE, WA 98115-7737
(206) 522-5514
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00000690
WA
Other
Enumeration date
01/03/2007
Last updated
07/10/2007
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