PROF. WILLIAM DAVID LANE PH.D. NPI 1932325289

NPI Information

NPI: 1932325289
Provider Name: PROF. WILLIAM DAVID LANE, PH.D.
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
14 EASTBROOK BND
SUITE 201
PEACHTREE CITY, GA
ZIP 30269
Phone: (770) 716-1444
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PROF. William David Lane, PH.D. is a professional counselor in Peachtree City, GA. PROF. William David Lane, PH.D. NPI is 1932325289. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14 EASTBROOK BND
SUITE 201
PEACHTREE CITY, GA
ZIP 30269-530
Phone: (770) 716-1444
Fax: (678) 669-2693

The enumeration date for this NPI number is 4/17/2007 and was last updated on 4/30/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106H00000X	Marriage & Family Therapist		MFT000754	GEORGIA	No
2	101YP2500X	Counselor	Professional	LPC001745	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	LPC001745	OTHER	GEORGIA	PROFESSIONAL COUNSELOR
2	MFT000754	OTHER	GEORGIA	MARRAIGE & FAMILY THERAP
3	52205944	OTHER	GEORGIA	BCBS
4	7045899	OTHER	GEORGIA	AETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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