Peter Paul Lack
Addiction Psychologist (Substance Use Disorder)
3804 Hastings Ave W
Port Townsend
, Washington 98368-9642
Peter Paul Lack
Addiction Psychologist (Substance Use Disorder)
3804 Hastings Ave W
Port Townsend
, Washington 98368-9642
(360) 385-3605
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Peter Paul Lack
- Po Box 102
- Port Townsend, WA
- Zip : 98368-0102
- Fax : (360) 385-3605
- Phone : (360) 385-5505
Second Address
- Peter Paul Lack
- 3804 Hastings Ave W
- Port Townsend, WA
- Zip : 98368-9642
- Fax : (360) 385-3605
- Phone : (360) 385-5505
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | CP00006346 | WA |
National Provider Identifier
| NPI | 1033529987 |
|---|---|
| Provider Name | Peter Paul Lack |
| First Address | Port Townsend, WA 98368-0102 |
| Second Address | Port Townsend, WA 98368-9642 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/04/2014 |
| Last Update Date | 30/04/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.