Dr Lane Van Der Sluis, PSY D - Psychologist in Vancouver, WA

Dr Lane Van Der Sluis, PSY D is a Psychologist - Clinical based in Vancouver, Washington. Dr Lane Van Der Sluis is licensed to practice in Washington (license number PY00001784) and his current practice location is 2904 Main St, Vancouver, Washington. He can be reached at his office (for appointments etc.) via phone at (360) 695-8332.

NPI number for Dr Lane Van Der Sluis is 1043293855 and his current mailing address is Po Box 213, La Center, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043293855.

Contact Information

Dr Lane Van Der Sluis, PSY D
2904 Main St,
Vancouver, WA 98663-2722
(360) 695-8332
(360) 263-5911



Healthcare Provider's Profile

Full NameDr Lane Van Der Sluis
GenderMale
SpecialityPsychologist - Clinical
Location2904 Main St, Vancouver, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043293855
  • Provider Enumeration Date: 11/25/2005
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Lane Van Der Sluis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043293855NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY00001784 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lane Van Der Sluis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Lane Van Der Sluis, PSY D
Po Box 213,
La Center, WA 98629-0213

Ph: (360) 695-8332
Dr Lane Van Der Sluis, PSY D
2904 Main St,
Vancouver, WA 98663-2722

Ph: (360) 695-8332

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