Theodore W. Lane Phd, Pllc
NPI #1427412360 in Southern Pines, North Carolina
Provider Information
- NPI Number
- 1427412360
- Entity Type
- Organization
- Organization Name
- Theodore W. Lane Phd, Pllc
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Apr 6, 2016
- Last Updated
- Apr 6, 2016
Practice Location
- Address
- 185 E NEW HAMPSHIRE AVE
- City
- Southern Pines
- State
- North Carolina
- ZIP Code
- 28387-5529
- Phone
- (910) 692-9100
Authorized Official
- Name
- DR. THEODORE W LANE, PH.D.
- Title
- SOLE MEMBER
- Phone
- (910) 692-9100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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