NPI 1023156932

Theodore W. Lane, PHD

Practitioner Clinical Psychologist Fayetteville, NC

Practice location

Address: 1540 Purdue Dr STE 200, Fayetteville, NC 28303-5510
Phone: (910) 867-8889
Fax: (910) 487-3061
Mailing address: 1100 E Connecticut Ave, Southern Pines, NC 28387-6719

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 1264 (NC)

Other Psychologist providers in North Carolina →

Registry record

NPI: 1023156932
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.