Organization
LANE VAN DER SLUIS INC PS
Active
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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