Individual
DR. KELLY BEAKLEY LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
111 N WEST ST STE H, EASTON, MD 21601-2760
(410) 443-5527
Mailing address
111 N WEST ST STE H, EASTON, MD 21601-2760
(410) 443-5527
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
05234
MD
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
05234
MD
Other
Enumeration date
10/19/2012
Last updated
07/21/2022
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