DR. KELLY BEAKLEY LANE


Address: 18 N Hanson St, Easton, MD 21601-3176
Phone: (410) 443-5527

DR. KELLY BEAKLEY LANE (NPI# 1861745440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861745440
Entity Type Individual
Full Name DR. KELLY BEAKLEY LANE
Credential PSY.D.
Practice Address 18 N Hanson St
Easton
MD 21601-3176
Practice Telephone (410) 443-5527
Mailing Telephone 4104435527
Enumeration Date 2012-10-19
Last Update Date 2018-10-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC0700X Psychologist
Specialization: Clinical
05234 MD Behavioral Health & Social Service Providers
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
05234 MD Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
7 Papermill St, Easton, MD 216012527 4104435527

Other Providers KELLY LANE

NPI Name Taxonomy Address Enumeration
1427572163 Kelly Michele Lane Specialist/Technologist 300 W Main St Apt 2b, Springport, MI 49284-9517 2017-08-02
1790025526 Kelly Lane Registered Nurse 1327 Garfield Ave, Sidney, OH 45365-1723 2013-02-14
1962439737 Kelly A Lane Nurse Practitioner 147 Parliament Loop Ste 1005, Lake Mary, FL 32746-3560 2006-06-27
1154376192 Kelly M Lane Anesthesiologist Assistant 6326 Hospital Pkwy, Building 1000, Suite 111, Johns Creek, GA 30097 2006-05-24
1225594005 Kelly Lane Counselor 7821 N Dale Mabry Hwy, Tampa, FL 33614-3275 2019-02-16
1740704535 Kelly Shea Lane Physical Therapist 1702 Hillcrest Dr, Bellevue, NE 68005-3652 2017-08-02
1124474119 Kelly M Lane Counselor 501 N Monroe St, Hutchinson, KS 67501-1345 2016-05-09
1952765745 Kelly Lane Physician Assistant 29 Northwest Blvd, Nashua, NH 03063-4068 2016-04-08
1538525738 Kelly Lane Counselor 998 Crooked Hill Rd, Brentwood, NY 11717-1019 2016-01-05
1669756375 Kelly Ann Lane Licensed Practical Nurse 2400 S 48th St, Springdale, AR 72762-6683 2011-09-30

Office Location

Street Address 18 N HANSON ST
City EASTON
State MD
Zip Code 21601-3176

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356367346 Virginia B Blatchley Psychologist 18 N Hanson St, Mill Place II, Suite 1, Easton, MD 21601-3134 2006-07-14
1396943510 International Hearing System, Inc. Hearing Aid Equipment 18 N Hanson St, Suite 3, Easton, MD 21601-3176 2007-07-10
1730384710 Mark D Harrison Hearing Instrument Specialist 18 N Hanson St, Suite 3, Easton, MD 21601-3134 2007-06-19
1023037728 Elizabeth C Koprowski Psychologist 18 N Hanson St, Mill Place II, Suite 1, Easton, MD 21601-3134 2006-07-19
1255350955 Robert J Blatchley Psychologist 18 N Hanson St, Mill Place II, Suite 1, Easton, MD 21601-3134 2006-07-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588205215 Jodi Windsor Kindt Nurse Practitioner Aamg Talbot Primary Care, 28438 Marlboro Avenue, Easton, MD 21601 2019-10-03
1902466998 Christina Deleon Physician Assistant 403 Marvel Court, Easton, MD 21601 2019-06-20
1710458583 Patricia Vilani Occupational Therapy Assistant 12 Magnolia, Easton, MD 21601 2018-12-05
1538687702 Kristin Dabbs Wilkerson Counselor 29520 Canvasback Drive, Easton, MD 21601 2017-09-07
1356869978 Angela Lynn Rutherford Physical Therapy Assistant 610 Dutchman's Ln, Easton, MD 21601 2017-09-04
1851842389 Myeyedr Optometry of Maryland, LLC Optometrist 28522 Marlboro Ave, Ste A, Easton, MD 21601 2016-10-19
1659721991 Lauren Strady Pediatrics 500 Cadmus Ln Ste 210, Easton, MD 21601 2016-06-17
1194174391 Statcare Group IIi, PC Clinic/Center 28522-c Marlboro Avenue, Easton, MD 21601 2016-06-08
1245684224 Christina M Ball Nurse Practitioner 545 Cynwood Drive, Easton, MD 21601 2016-04-15
1205220274 Rebecca Ann Ruby Ailstock Midwife 508 Idlewild Ave Ste 3, Easton, MD 21601 2015-03-26
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750998829 Anna Elizabeth Pozzatti Psychologist 11140 Rockville Pike Ste 530&550e, Rockville, MD 20852-3106 2020-09-23
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1336769561 Breakthrough Therapeutic Concepts, LLC. Psychologist 408 Crain Hwy S Ste 6, Glen Burnie, MD 21061-3661 2020-04-17
1033772272 Stephanie Judd Psychologist 3901 Rosemary St, Chevy Chase, MD 20815-5223 2019-04-14
1942794870 Annie Rabinovitch Psychologist 1132 Annapolis Rd Ste 200, Odenton, MD 21113-1673 2018-06-14
1972094167 Bk Behavioral Health Center Psychologist 14300 Cherry Lane Ct # 202-203, Laurel, MD 20707-4958 2018-05-23
1477938215 Deborah A Odonnell, Phd, Clinical Psychologist, LLC Psychologist 41660 Courthouse Dr # 201c, Leonardtown, MD 20650-3887 2015-07-22
1336535319 Roderick Irving Wellington Psychologist 7050 Chesapeake Rd, Suite 104, Landover Hills, MD 20784-2347 2015-04-07
1225438344 Marjorie Katherine Mccalla Psychologist 720 Aliceanna St, Baltimore, MD 21202-4387 2014-08-26
1992122923 Kendel Wylie-pugh Psychologist 4309 Travancore Ct, Randallstown, MD 21133-1315 2014-03-27
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Competitor

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City EASTON
Zip Code 21601

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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