Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID BALLARD LANE JR., LMSW, LLP, LPC
Active Sole ProprietorPsychologist · TAWAS CITY, MI
Registration Details
- NPI Number
- 1356481014
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 8, 2007 (19.249056408868 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
6401000213 (MI)6301003884 (MI)6801016231 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1199 HARRIS AVETAWAS CITY, MI, 487639681Browse MI providers · Browse ZIP 48763
- Phone
- 9893628636
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Psychologist
- Additional Specialty
- Clinical Social Worker
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.