Lane, William David

Lane, William David is an individual health care provider with primary practice located at 14 Eastbrook Bnd Suite 201, Peachtree City GA 30269-1530. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Lane, William David can be contacted via phone (770) 716-1444.

Contact Information

Primary practice address
14 Eastbrook Bnd Suite 201 Peachtree City GA 30269-1530
Phone: (770) 716-1444
Fax: (678) 669-2693
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC001745 Georgia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT000754 Georgia

Profile Details

NPI number 1932325289
LBN Legal business name Lane, William David
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Apr 30th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932325289 NPPES
Georgia Other 7045899 AETNA
Georgia Other 52205944 AETNA
Georgia Other LPC001745 AETNA
Georgia Other MFT000754 AETNA

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