Individual provider · Type 1 NPI

Theodore W. Lane, PhD

Clinical Psychologist · Fayetteville, NC

NPI number 1023156932 Active

Practice location

1540 Purdue Dr Ste 200
Fayetteville, NC 28303-5510

Call (910) 867-8889 Map

Fax (910) 487-3061

Mailing address

1100 E Connecticut Ave
Southern Pines, NC 28387-6719

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X1264 (NC)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1023156932

Theodore W. Lane, PhD's National Provider Identifier is 1023156932, issued on Feb 2, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Fayetteville, NC. The record was last updated on Jul 8, 2007.