Individual
DR. MELISSA DETTORE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
66 BIRCHWOOD KNLS, LAWRENCE, NJ 08648-3646
(215) 432-3432
Mailing address
66 BIRCHWOOD KNLS, LAWRENCE, NJ 08648-3646
(215) 432-3432
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00571900
NJ
Other
Enumeration date
09/05/2014
Last updated
09/18/2023
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