| James W Lane, PHD | |
|
6810 State Route 162, Suite 215, Maryville, IL 62062-8501 | |
| (618) 288-5711 | |
| (618) 288-4088 |
| Full Name | James W Lane |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 6810 State Route 162, Maryville, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710009840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| James W Lane, PHD 1836 Lackland Hill Pkwy, Attn Credentialing Dept, Saint Louis, MO 63146-3572 Ph: (314) 989-0300 | James W Lane, PHD 6810 State Route 162, Suite 215, Maryville, IL 62062-8501 Ph: (618) 288-5711 |
Kenneth Kubicek, PHD, LCPC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3 Oak Dr Ste B, Maryville, IL 62062 Phone: 618-972-1568 Fax: 618-205-3561 | |
Dr. Robin L. Myers, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6201 W Main St, Ste 130, Maryville, IL 62062 Phone: 618-659-8787 | |
Dr. Patricia Ann Stark, PH D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2802 Maryville Road, Maryville, IL 62062 Phone: 618-345-6632 |