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PETER PAUL LACK NPI 1033529987


NPI Information

NPI: 1033529987
Provider Name: PETER PAUL LACK
Classification: Psychologist - 103TA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
3804 HASTINGS AVE W
PORT TOWNSEND, WA
ZIP 98368
Phone: (360) 385-5505
Get Directions

Peter Paul Lack is an addiction (substance use disorder) psychologist in Port Townsend, WA. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. Peter Paul Lack NPI is 1033529987. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3804 HASTINGS AVE W
PORT TOWNSEND, WA
ZIP 98368-642
Phone: (360) 385-5505
Fax: (360) 385-3605

The enumeration date for this NPI number is 4/30/2014 and was last updated on 4/30/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TA0400XPsychologistAddiction (Substance Use Disorder)CP00006346WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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