DR. Matthew John Lane, IAM, QDSP, QPASP
NPI #1265506372 in Norwalk, Connecticut
Provider Information
- NPI Number
- 1265506372
- Entity Type
- Individual
- Name
- DR. Matthew John Lane, IAM, QDSP, QPASP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist, Other
- Credential
- IAM, QDSP, QPASP
- Enumeration Date
- Nov 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 8 WEATHERBELL DR
- City
- Norwalk
- State
- Connecticut
- ZIP Code
- 06851-1411
- Phone
- (203) 251-0200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other |
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