Lane, Angela Brooke

Lane, Angela Brooke is an individual health care provider with primary practice located at 280 1St St Bldg 23 , Holloman Afb NM 88330-8273. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Lane, Angela Brooke can be contacted via phone (575) 572-5676.

Contact Information

Primary practice address
280 1St St Bldg 23 Holloman Afb NM 88330-8273
Phone: (575) 572-5676
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1053550756
LBN Legal business name Lane, Angela Brooke
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2009
Last updated Apr 20th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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