Organization
LANE VAN DER SLUIS INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANE VAN DER SLUIS PSY D (PRESIDENT)
(360) 695-8332
Entity
Organization
Contact information
Practice address
756 OFFICERS ROW, VANCOUVER, WA 98661-3845
(360) 695-8332
(866) 524-1569
Mailing address
PO BOX 213, LA CENTER, WA 98629-0213
(360) 695-8332
(866) 524-1569
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PY00001784
WA
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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