Search › Washington › Addiction (Substance Use Disorder) Psychologist
Peter Lack
NPI 1033529987 · on the registry since 2014
Practice
- Address
- 3804 Hastings Ave W
Port Townsend, WA 98368 - Phone
- (360) 385-5505
- Fax
- (360) 385-3605
- Organisation at this address
- Gray Wolf Ranch
Washington Health Operations LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Addiction (Substance Use Disorder) Psychologist
103TA0400X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-04-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington