Healthcare Provider Details

I. General information

NPI: 1518951334
Provider Name (Legal Business Name): DORIS P LANCASTER PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2005
Last Update Date: 11/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIT 5210 BOX 230
APO AE
09461
US

IV. Provider business mailing address

PSC 41 BOX 6352
APO AE
09464
US

V. Phone/Fax

Practice location:
  • Phone: 011441638528124
  • Fax: 163-852-8649
Mailing address:
  • Phone: 011441638528124
  • Fax: 163-852-8649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2438
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: