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

Mr. Robert Bruce Fane, EDD

Individual provider Clinical Child & Adolescent Psychologist · NPI 1144313248

Mr. Robert Bruce Fane, EDD is a Clinical Psychologist in Bowling Green, Kentucky. Qualified in 1997, 29 years ago. Practices with Robert Fane Agency Llcp, a 3-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
29
Licensed in
KY
In the registry since
2006
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

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Practice location Address checks out

1011 Lehman Ave Ste 103
Bowling Green, KY 42103-6515
Phone: (270) 393-9833
Fax: (270) 393-9835
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence 1104 (KY)

Record details

NPI number1144313248
Entity typeIndividual (Type 1)
GenderMale
Credentials EDD
Sole proprietorYes
NPI enumeratedOctober 2, 2006
Last updated in NPPESDecember 11, 2013
Mailing address1011 Lehman Ave, Suite 103, Bowling Green, KY 42103-6515

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Robert Fane Agency Llcp — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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