Individual provider · Type 1 NPI

James W. Lane, PhD

Psychologist · Maryville, IL

NPI number 1710009840 Active

Practice location

6810 State Route 162, Suite 215
Maryville, IL 62062-8501

Call (618) 288-5711 Map

Fax (618) 288-4088

Mailing address

1836 Lackland Hill Pkwy, Attn Credentialing Dept
St. Louis, MO 63146-3572

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XNone listed

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1710009840

James W. Lane, PhD's National Provider Identifier is 1710009840, issued on Apr 6, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Maryville, IL. The record was last updated on Feb 19, 2008.