Whalio Doctors

NPI 1144313248

Robert Bruce Fane, EDD

Practitioner Clinical Child & Adolescent Psychologist Bowling Green, KY

Practice location

Address
1011 Lehman Ave Suite 103, Bowling Green, KY 42103-6515
Phone
(270) 393-9833
Fax
(270) 393-9835

Registered specialties

Clinical Child & Adolescent Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC2200X Licence 1104 (KY)

Registry record

NPI
1144313248
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Oct 2006
Record last updated
11 Dec 2013

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.