Doctor Name: | TERRY ALAN LANE |
NPI Number: | 1003154113 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 7327 |
Business Practice Address: | 700 1st Ave Sulphur, LA - 706633423 |
Business Phone Number: | 3375286969 |
Business Fax Number: | 3375286970 |
Mailing Address: | 700 1st Ave, SULPHUR |
State: | LA |
Postal Code: | 706633423 |
Phone Number: | 3375286969 |
Fax Number: | 3375286970 |
NPI Enumeration Date: | 01/24/2013 |
NPI Last Update Date: | 01/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 7327 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |