Peter Paul Lack, | |
3804 Hastings Ave W, Port Townsend, WA 98368-9642 | |
(360) 385-5505 | |
(360) 385-3605 |
Full Name | Peter Paul Lack |
---|---|
Gender | Male |
Speciality | Psychologist - Addiction (substance Use Disorder) |
Location | 3804 Hastings Ave W, Port Townsend, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033529987 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TA0400X | Psychologist - Addiction (substance Use Disorder) | CP00006346 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
Peter Paul Lack, Po Box 102, Port Townsend, WA 98368-0102 Ph: (360) 385-5505 | Peter Paul Lack, 3804 Hastings Ave W, Port Townsend, WA 98368-9642 Ph: (360) 385-5505 |
Joseph Nevotti, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2023 East Sims Way, Port Townsend, WA 98368 Phone: 360-643-9113 | |
Dr. Linda Faye Little, PHD PSYCHOLOGIST Psychologist Medicare: Accepting Medicare Assignments Practice Location: 780 Mcminn Rd, Port Townsend, WA 98368 Phone: 360-385-7459 | |
Dr. Bruce John Tapper, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 281 Lane De Chantel # A, Port Townsend, WA 98368 Phone: 360-379-3500 Fax: 360-379-8866 | |
Erik Anders Nygard, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 884 West Park Avenue, Port Townsend, WA 98368 Phone: 360-385-0321 Fax: 360-379-5534 | |
Dr. Claire Smith Roney, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 905 Hidden Trail Rd, Port Townsend, WA 98368 Phone: 360-379-5754 | |
Dr. Emily Gustafson, PH.D., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1610 Blaine St, Ptsd, Learning Support Services Office, Port Townsend, WA 98368 Phone: 360-379-4366 |