| Dr Douglas W Lane, PH D | |
|
2607 Bridgeport Way W Ste 2e, University Place, WA 98466-4725 | |
| (253) 364-7814 | |
| Not Available |
| Full Name | Dr Douglas W Lane |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 25 Years |
| Location | 2607 Bridgeport Way W Ste 2e, University Place, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780732073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY00003471 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Olympic Psychology Services, Pllc | 8527393156 | 9 |
| Entity Name | Olympic Psychology Services, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497114342 PECOS PAC ID: 8527393156 Enrollment ID: O20190718000664 |
| Entity Name | Shanachie Psychological Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205699055 PECOS PAC ID: 8628548963 Enrollment ID: O20260527003699 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas W Lane, PH D Po Box 7182, Tacoma, WA 98417-0182 Ph: (253) 364-7814 | Dr Douglas W Lane, PH D 2607 Bridgeport Way W Ste 2e, University Place, WA 98466-4725 Ph: (253) 364-7814 |
Dr. Kelly Kriston Brown, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4004 Chestnut Dr W, University Place, WA 98466 Phone: 253-503-6226 |
Dr. Charaine Emily Herald, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1919 70th Avenue West, Suite D-4, University Place, WA 98466 Phone: 253-564-1193 Fax: 253-439-6222 |
Dr. Ray Jason Katzenbach, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2607 Bridgeport Way W Ste 2d, University Place, WA 98466 Phone: 253-446-2319 Fax: 253-375-1653 |
Barry A Carlaw, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4606 Bridgeport Way W, Suite B, University Place, WA 98466 Phone: 253-564-8322 |
Dr. Edward Louis Coyle Ii, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 4007 Bridgeport Way W Ste A, University Place, WA 98466 Phone: 405-229-7762 Fax: 253-302-4612 |