Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theodore W. Lane PHD, PLLC

Organization Clinical Psychologist · NPI 1427412360

Theodore W. Lane PHD, PLLC is a Clinical Psychologist in Southern Pines, North Carolina. Licensed in North Carolina. Registered with an NPI since 2016.

Licensed in
NC
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

185 E New Hampshire Ave
Southern Pines, NC 28387-5529
Phone: (910) 692-9100
Fax: (910) 692-9109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 1264 (NC)

Record details

NPI number1427412360
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theodore Lane — Sole Member · (910) 692-9100
NPI enumeratedApril 6, 2016
Last updated in NPPESApril 6, 2016
Mailing address185 E New Hampshire Ave, Southern Pines, NC 28387-5529

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