Individual
DR. BRANDI LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4001 KING AVE, CORCORAN, CA 93212-9611
(559) 992-8800
Mailing address
PO BOX 1031, CORCORAN, CA 93212-1031
(559) 992-8800
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY22445
CA
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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