Individual
MATTHEW P. LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.S.
Contact information
Practice address
3021 SW 27TH AVENUE, UNIT 1, OCALA, FL 34471
(352) 237-3440
(352) 237-4381
Mailing address
3021 SW 27TH AVENUE, UNIT 1, OCALA, FL 34471
(352) 237-3440
(352) 237-4381
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
SS599
FL
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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