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Contact Information

ROBERT B FANE, ED.D
1011 LEHMAN AVE
SUITE 103
BOWLING GREEN, KY42103-6515
 Phone: 270-393-9833
 Fax: 270-393-9835
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ROBERT B FANE · (Male)

NPI # 1144313248
Status Active
Credentials ED.D
Entity Individual
Enumeration date 10/02/2006
Last updated 12/11/2013 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 1104
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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