Van Der Sluis, Lane
Van Der Sluis, Lane is an individual health care provider with primary practice located at 2904 Main St , Vancouver WA 98663-2722. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Van Der Sluis, Lane can be contacted via phone (360) 695-8332.Contact Information
Primary practice address
2904 Main St
Vancouver WA 98663-2722
Phone: (360) 695-8332
Fax: (360) 263-5911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY00001784 | Washington |
Profile Details
| NPI number | 1043293855 |
|---|---|
| LBN Legal business name | Van Der Sluis, Lane |
| Credentials | PSY D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 25th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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