Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY BEAKLEY LANE, PSY.D.
Active Sole ProprietorDR. KELLY BEAKLEY LANE, PSY.D. is a Child, Clinical Psychologist healthcare provider located in EASTON, Maryland. NPI 1861745440 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · EASTON, MD
Registration Details
- NPI Number
- 1861745440
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 19, 2012 (13.808703492175 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
05234 (MD)05234 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
111 N WEST ST STE HEASTON, MD, 216012760Browse MD providers · Browse ZIP 21601
- Phone
- 4104435527
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
- Additional Specialty
- Child, Clinical Psychologist
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.