Peter Paul Lack

Individual provider Addiction (Substance Use Disorder) Psychologist · NPI 1033529987

Peter Paul Lack is an Addiction (Substance Use Disorder) Psychologist in Port Townsend, Washington. Licensed in Washington. Registered with an NPI since 2014.

Licensed in: WA
In the registry since: 2014

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Practice location Address checks out

3804 Hastings Ave W
Port Townsend, WA 98368-9642
Phone: (360) 385-5505
Fax: (360) 385-3605

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Specialties & licences

Addiction (Substance Use Disorder) Psychologist (primary)	Taxonomy 103TA0400X · Licence CP00006346 (WA)

Record details

NPI number	1033529987
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	No
NPI enumerated	April 30, 2014
Last updated in NPPES	April 30, 2014
Mailing address	Po Box 102, Port Townsend, WA 98368-0102