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
- City
- Columbus
- State
- Mississippi
- ZIP Code
- 39702-5319
- Phone
- (662) 329-0114
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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Organizations
| Provider Name | |
|---|---|
| James R. Lane, III |
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