Individual
DR. TIMOTHY M LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
209 TRAVIS ST STE 101, ROANOKE, TX 76262-8661
(940) 395-1670
(877) 225-5575
Mailing address
209 TRAVIS ST STE 101, ROANOKE, TX 76262-8661
(940) 395-1670
(877) 225-5575
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
24448
TX
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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