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Theodore W. Lane PHD, PLLC

NPI 1427412360ActiveOrganization· Psychologist, Clinical· Southern Pines, NC

Psychologist, Clinical in Southern Pines, North Carolina, registered in NPPES in April 2016. The authorized official on file is Theodore W. Lane, PH.D., Sole Member.

Overview

NPI1427412360
StatusActive
Entity typeOrganization
NPI issuedApr 6, 2016
Last updated in NPPESApr 6, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist, Clinical Primary103TC0700X1264NC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other clinical psychologists in Southern Pines

All clinical psychologists in North Carolina