IndividualActive
Kelly Lane, PSY.D.
NPI 1861745440 · Clinical Child & Adolescent Psychologist · Easton, MD
Provider details
- NPI number
- 1861745440
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 05234 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
111 N West St Ste H
Easton, MD 21601-2760
Phone: (410) 443-5527
Approximate (ZIP-level) locationGet directions
Mailing address
111 N West St Ste H
Easton, MD 21601-2760
Registry dates
- Enumerated
- 2012-10-19
- Last updated
- 2022-07-21
- Certified
- 2021-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.