THEODORE W. LANE PHD PLLC NPI 1427412360

NPI Information

  • NPI: 1427412360
  • Provider Name: THEODORE W. LANE PHD, PLLC
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 185 E NEW HAMPSHIRE AVE
    SOUTHERN PINES, NC
    ZIP 28387
  • Phone: (910) 692-9100

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NPI Details

THEODORE W. LANE PHD, PLLC is a clinical psychologist in Southern Pines, NC. The provider is 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 disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. THEODORE W. LANE PHD, PLLC NPI is 1427412360. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

185 E NEW HAMPSHIRE AVE
SOUTHERN PINES, NC
ZIP 28387-529
Phone: (910) 692-9100
Fax: (910) 692-9109

The provider's authorized official is Theodore W Lane .
The authorized official title is Sole Member and has the following contact phone number (910) 692-9100.

The enumeration date for this NPI number is 4/6/2016 and was last updated on 4/6/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical1264NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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