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THEODORE W. LANE PHD, PLLC
NPI 1427412360
Psychologist - Clinical in Southern Pines, NC

Active since April 06, 2016
185 E NEW HAMPSHIRE AVE, SOUTHERN PINES, NC 28387(910) 692-9100(910) 692-9109 Get Directions Write a Review

NPPES record last updated: April 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theodore W. Lane Phd, Pllc NPPES

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

THEODORE W. LANE PHD, PLLC (NPI 1427412360) is a healthcare organization registered as a clinical in Southern Pines, North Carolina and active in the NPI registry since April 2016. The organization lists Theodore W Lane, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1427412360
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameTHEODORE W. LANE PHD, PLLC
Location Address185 E NEW HAMPSHIRE AVESouthern Pines, NC 28387-5529
Mailing Address185 E New Hampshire AveSouthern Pines, NC 28387-5529 · (910) 692-9100 · Fax (910) 692-9109
Phone(910) 692-9100
Fax(910) 692-9109
Organization SubpartNo
Authorized OfficialTheodore W LaneSole Member · (910) 692-9100
Enumeration DateApril 6, 2016
✔ NPI 1427412360 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.
185 E NEW HAMPSHIRE AVE, Southern Pines, NC 28387
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

MS. DEBORAH KAYE RICH LCSW LPC MAC
Social Worker (Clinical)
185 E NEW HAMPSHIRE AVE
SOUTHERN PINES, NC 28387
Moore County (910) 692-9100
LISA GAY BOADO
Counselor (Mental Health)
185 E NEW HAMPSHIRE AVE
SOUTHERN PINES, NC 28387
Moore County (910) 690-1385

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 W. Lane Phd, PLLC's NPI number?

The NPI number for Theodore W. Lane Phd, PLLC is 1427412360. It was assigned to this organization in the NPPES registry on April 6, 2016.

Where is Theodore W. Lane Phd, PLLC located?

Theodore W. Lane Phd, PLLC is located at 185 E New Hampshire Ave, Southern Pines, NC 28387. The listed phone number is (910) 692-9100.

What is Theodore W. Lane Phd, PLLC'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 W. Lane Phd, PLLC was last updated on April 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.