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MR. ROBERT BRUCE FANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ED.D

Contact information

Practice address
1011 LEHMAN AVE, SUITE 103, BOWLING GREEN, KY 42103-6515
(270) 393-9833
(270) 393-9835
Mailing address
1011 LEHMAN AVE, SUITE 103, BOWLING GREEN, KY 42103-6515
(270) 393-9833
(270) 393-9835

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1104
KY

Other

Enumeration date
10/02/2006
Last updated
12/11/2013
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