| Shanachie Psychological Services | |
|
748 Market St # 314 Tacoma WA 98402-3737 | |
| (626) 842-0383 | |
| Not Available |
| Full Name | Shanachie Psychological Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 748 Market St # 314, Tacoma, Washington |
| Authorized Official Name and Position | Douglas Warren Lane (PSYCHOLOGIST) |
| Authorized Official Contact | 6268420383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shanachie Psychological Services Po Box 7182 Tacoma WA 98417-0182 Ph: () - | Shanachie Psychological Services 748 Market St # 314 Tacoma WA 98402-3737 Ph: (626) 842-0383 |
| NPI Number | 1205699055 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205699055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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