Individual
KACEY LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
14 MAINE ST STE 309, BRUNSWICK, ME 04011-2033
(207) 607-4022
(207) 607-4048
Mailing address
10 EQUESTRIAN WAY, SACO, ME 04072-1673
(207) 712-9128
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS1447
ME
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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