Lane Van Der Sluis in La Center - Clinical
Lane Van Der Sluis - NPI 1043293855
Lane Van Der Sluis is a Clinical in La Center, Washington. Lane Van Der Sluis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lane Van Der Sluis is 1043293855. The last update date is 2007-07-08.
Lane Van Der Sluis's current location address is Po Box 213, La Center, Washington. You can contact this provider via phone number 3606958332 and fax number 3602635911. The mailing address for Lane Van Der Sluis is Po Box 213, La Center, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lane Van Der Sluis |
|---|---|
| Address | Po Box 213, La Center, Washington |
| Phone Number | 3606958332 |
| Fax Number | 3602635911 |
| Sole Proprietor | X |
| Credentials | PSY D |
NPI Number Detail
| NPI Number | 1043293855 |
|---|---|
| Provider Enumeration Date | 2005-11-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 213 |
|---|---|
| City | La Center |
| State | Washington (WA) |
| Post Code | 986290213 |
| Phone Number | 3606958332 |
| Fax Number | 3602635911 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY00001784 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code assigned to Lane Van Der Sluis by the Centers for Medicare & Medicaid Services?
The Lane Van Der Sluis has been issued the NPI (National Provider Identifier) 1043293855 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Lane Van Der Sluis is physically located?
The Lane Van Der Sluis is situated at the following address: Po Box 213, La Center, WA 986290213.
What is Lane Van Der Sluis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lane Van Der Sluis's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
When did Lane Van Der Sluis receive its 1043293855 assignment?
The Lane Van Der Sluis was assigned its 1043293855 on 2005-11-25, which is the date when this unique identifier was issued to the organization.
When was the information related to Lane Van Der Sluis most recently updated or refreshed?
The details pertaining to the Lane Van Der Sluis, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.