MRS. Penelope Diane Lane

NPI #1881038776 in Waco, Texas

Provider Information

NPI Number
1881038776
Entity Type
Individual
Name
MRS. Penelope Diane Lane
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Enumeration Date
Apr 22, 2013
Last Updated
Apr 22, 2013

Practice Location

Address
7524 BOSQUE
City
Waco
State
Texas
ZIP Code
76710
Phone
(254) 624-2269

Specialties & Taxonomy Codes

Specialty
Psychologist - SchoolSchool
Counselor - ProfessionalProfessional

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