Individual
DR. LAURENCE L. PASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
307 BOATNER RD STE 114, EGLIN AFB, FL 32542-1302
(850) 883-8374
Mailing address
4175 S ALAMO AVE, DAVIS-MONTHAN AFB, AZ 85707-4405
(520) 228-2778
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
60589535
WA
Other
Enumeration date
05/15/2014
Last updated
05/19/2024
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