Dr. Melissa Lane, PsyD
Psychologist in Covington, LA. Individual provider (NPI-1).
NPI number1972033694
StatusActive
Last updated in NPPESNov 15, 2021
Details
- NPI
- 1972033694
- Entity type
- Individual (NPI-1)
- Name
- Dr. Melissa Lane
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2017
- Certification date
- Nov 15, 2021
- Last updated
- Nov 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 1607 | LA | Yes |
| 103T00000X | Psychologist | PY10710 | FL | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
56 Louis Prima DrCovington, LA 70433-5903
Phone 985-327-7256 · Fax 985-327-7253
Mailing address
1514 Jefferson HwyNew Orleans, LA 70121-2429
Phone 504-842-4000
Other practice locations
1750 E Fairmount Ave Rm 3094
Baltimore, MD 21231-1534
Baltimore, MD 21231-1534
Phone 443-923-4467
701 W Mallory St
Pensacola, FL 32501-6319
Pensacola, FL 32501-6319
Phone 850-712-5111
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