| Lane Ogden, Ph.d., Pllc | |
|
8340 Meadow Rd Suite 224 Dallas TX 75231-3769 | |
| (469) 232-9944 | |
| (469) 232-9943 |
| Full Name | Lane Ogden, Ph.d., Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 8340 Meadow Rd, Dallas, Texas |
| Authorized Official Name and Position | Lane Ogden (OWNER) |
| Authorized Official Contact | 4692329944 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lane Ogden, Ph.d., Pllc 8340 Meadow Rd Suite 224 Dallas TX 75231-3769 Ph: (469) 232-9944 | Lane Ogden, Ph.d., Pllc 8340 Meadow Rd Suite 224 Dallas TX 75231-3769 Ph: (469) 232-9944 |
| NPI Number | 1275836611 |
|---|---|
| Provider Enumeration Date | 12/07/2010 |
| Last Update Date | 12/07/2010 |
| Medicare PECOS PAC ID | 3375726607 |
|---|---|
| Medicare Enrollment ID | O20110324000453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275836611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 22886 (Texas) | Primary |
| Provider Name | Lane G Ogden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861579401 PECOS PAC ID: 8123042652 Enrollment ID: I20060126000816 |
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