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THEODORE W. LANE PH.D.
NPI 1023156932
Psychologist - Clinical in Fayetteville, NC

Active since February 02, 2007
1540 PURDUE DR STE 200, FAYETTEVILLE, NC 28303(910) 867-8889(910) 487-3061 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theodore W. Lane Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORE W. LANE PH.D. (NPI 1023156932) is an individual clinical provider in Fayetteville, North Carolina, licensed in North Carolina (1264) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1023156932
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameTHEODORE W. LANECredential: PH.D.
Location Address1540 PURDUE DR STE 200Fayetteville, NC 28303-5510
Mailing Address1100 E Connecticut AveSouthern Pines, NC 28387-6719 · (910) 692-4624
Phone(910) 867-8889
Fax(910) 487-3061
Sole ProprietorNo
Enumeration DateFebruary 2, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1023156932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NC · 1264
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1540 PURDUE DR STE 200, Fayetteville, NC 28303
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER B SIMONI PA
Physician Assistant
1540 PURDUE DR STE 200
FAYETTEVILLE, NC 28303
Cumberland County (910) 630-1112
CARDINAL CLINIC, LLC
Psychiatry & Neurology (Psychiatry)
1540 PURDUE DR STE 200
FAYETTEVILLE, NC 28303
Cumberland County (910) 867-8889
CARDINAL CLINIC LLC
Social Worker
1540 PURDUE DR STE 200
FAYETTEVILLE, NC 28303
Cumberland County (910) 867-8889
BRENDA M. DIXON
Counselor
1540 PURDUE DR STE 200
FAYETTEVILLE, NC 28303
Cumberland County (910) 867-8889
CARDINAL CLINIC L.L.C.
Counselor
1540 PURDUE DR STE 200
FAYETTEVILLE, NC 28303
Cumberland County (910) 867-8889
SARAH E MALTBA FNP
Nurse Practitioner (Family)
1540 PURDUE DR STE 200
FAYETTEVILLE, NC 28303
Cumberland County (910) 630-1112
KHANDI-KAE D SWEENEY PA-C
Physician Assistant
1540 PURDUE DR STE 200
FAYETTEVILLE, NC 28303
Cumberland County (910) 630-1112
CARDINAL CLINIC LLC
Community/Behavioral Health
1540 PURDUE DR STE 200
FAYETTEVILLE, NC 28303
Cumberland County (910) 867-8889

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Lane's NPI number?

The NPI number for Theodore Lane is 1023156932. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Theodore Lane located?

Theodore Lane practices at 1540 Purdue Dr Ste 200, Fayetteville, NC 28303. The listed phone number is (910) 867-8889.

What is Theodore Lane's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Theodore Lane was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.