DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ROBERT BRUCE FANE, ED.D

Active Sole Proprietor

MR. ROBERT BRUCE FANE, ED.D is a Child, Clinical Psychologist healthcare provider located in BOWLING GREEN, Kentucky. NPI 1144313248 is currently active in the NPPES registry. Verify at CMS.

Child, Clinical Psychologist · BOWLING GREEN, KY

Registration Details

NPI Number
1144313248
Provider Type
Individual
Gender
Male
NPI Issued
Oct 2, 2006 (19.676702442036 yrs)
Last Updated
Dec 11, 2013
License
1104 (KY)
Sole Proprietor
Yes

Practice Information

Address
1011 LEHMAN AVE
SUITE 103
BOWLING GREEN, KY, 421036515
Browse KY providers · Browse ZIP 42103
Phone
2703939833
Fax
2703939835
Primary Specialty
Child, Clinical Psychologist
103TC2200X

Other Child, Clinical Psychologist Providers in BOWLING GREEN, KY

Name Credential NPI
WILLIAM PFOHL PSYD 1275522146
LISA HAYES LPP 1134131428
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.