Lane Van Der Sluis PSY D

NPI 1043293855 - Psychologist - 103TC0700X

NPI Details
NPI 1043293855
Gender Male
Enumeration Date 11/25/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2904 MAIN ST
VANCOUVER WA, 98663-2722, US
Phone (360) 695-8332
Fax (360) 263-5911
Business Location
PO BOX 213
LA CENTER WA, 98629-0213, US
Phone (360) 695-8332
Fax (360) 263-5911
Toxanomy
Taxonomy Code 103TC0700X
License State Washington
License Number PY00001784
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According to our database, Dr. Lane Van Der Sluis PSY D NPI is 1043293855, taxonomy code is 103TC0700X and license number is PY00001784, license state is located at Washington. Lane Van Der Sluis PSY D physically located at 2904 Main St, Vancouver WA, 98663-2722. NPI Number Lane Van Der Sluis PSY D has the Individual type.

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1043293855 NPI number is provided on an as is basis without warranty of any kind. 1043293855 is maintained by the National Plan & Provider Enumeration System. The contents of Lane Van Der Sluis PSY D are for informational purposes only.