Theodore W. Lane, PH.D.
NPI #1023156932 in Fayetteville, North Carolina
Provider Information
- NPI Number
- 1023156932
- Entity Type
- Individual
- Name
- Theodore W. Lane, PH.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- PH.D.
- Enumeration Date
- Feb 2, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1540 PURDUE DR STE 200
- City
- Fayetteville
- State
- North Carolina
- ZIP Code
- 28303-5510
- Phone
- (910) 867-8889
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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