Lane Van Der Sluis Inc PS

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PY00001784 Issued in WA

Legal business name

LANE VAN DER SLUIS INC PS

Practice address

756 Officers Row
Vancouver, WA 98661-3845

Phone

(360) 695-8332

Fax

(866) 524-1569

NPI assigned

Oct 22, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lane Van Der Sluis, PSY D

Title

President

Phone

(360) 695-8332

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1437485679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 213",
            "city": "LA CENTER",
            "state": "WA",
            "postal_code": "986290213",
            "telephone_number": "360-695-8332",
            "fax_number": "866-524-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 OFFICERS ROW",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986613845",
            "telephone_number": "360-695-8332",
            "fax_number": "866-524-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE VAN DER SLUIS INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "VAN DER SLUIS",
        "authorized_official_first_name": "LANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-695-8332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "PY00001784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tate J Lander, NP
• Sheri Marie Landers-Walker
• Donisha Larie Landes, BA
• Tammi Landis, OTA/L
• Thomas Christian Landry, MD
• Darrin 360-200-8670 Lane
• Mieke Denise Lane, DO
• Dahlyla Lang-Knight, LMT
• Jennifer L Lang, LMHC
• Karen Ann Lang, LMP.LMT, MMLT

• Community/Behavioral Health Agency in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.