Organization
JAMES R. LANE, III
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES RILEY LANE III PHD. (CLINICAL PSYCHOLOGIST/OWNER)
(662) 329-0114
Entity
Organization
Contact information
Practice address
116 LAWRENCE DR, SUITE 4, COLUMBUS, MS 39702-5324
(662) 329-0114
(662) 329-0114
Mailing address
116 LAWRENCE DR, SUITE 4, COLUMBUS, MS 39702-5324
(662) 329-0114
(662) 329-0114
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10140
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08431317
—
MS
Enumeration date
01/28/2010
Last updated
01/28/2010
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