Individual
DR. MELISSA LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
56 LOUIS PRIMA DR, COVINGTON, LA 70433-5903
(985) 327-7256
(985) 327-7253
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1607
LA
103T00000X
Psychologist
PY10710
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2017
Last updated
11/15/2021
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