James R. Lane III, PHD

NPI #1154476885 in Columbus, Mississippi

Provider Information

NPI Number
1154476885
Entity Type
Individual
Name
James R. Lane III, PHD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Clinical
Credential
PHD
Enumeration Date
Jan 24, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
116 LAWRENCE DR
Address 2
SUITE 4
ZIP Code
39702-5319
Phone
(662) 329-0114

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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