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

Theodore W. Lane, PHD

Individual provider Clinical Psychologist · NPI 1023156932

Theodore W. Lane, PHD is a Clinical Psychologist in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1540 Purdue Dr Ste 200
Fayetteville, NC 28303-5510
Phone: (910) 867-8889
Fax: (910) 487-3061
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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 number1023156932
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedFebruary 2, 2007
Last updated in NPPESJuly 8, 2007

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