Individual
JAMES R. LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4015 S MCCLINTOCK DR STE 101, TEMPE, AZ 85282-5877
(480) 897-6261
(480) 897-6284
Mailing address
4015 S MCCLINTOCK DR STE 101, TEMPE, AZ 85282-5877
(480) 897-6261
(480) 897-6284
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1047
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0601540
BLUE CROSS
AZ
Enumeration date
04/03/2007
Last updated
07/08/2007
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