Provider Demographics
NPI:1861579401
Name:OGDEN, LANE G (PHD)
Entity type:Individual
Prefix:DR
First Name:LANE
Middle Name:G
Last Name:OGDEN
Suffix:
Gender:M
Credentials:PHD
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Mailing Address - Street 1:8340 MEADOW RD
Mailing Address - Street 2:STE 224
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-0326
Mailing Address - Country:US
Mailing Address - Phone:972-437-4698
Mailing Address - Fax:972-671-2087
Practice Address - Street 1:2099 N COLLINS BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-2698
Practice Address - Country:US
Practice Address - Phone:972-437-4698
Practice Address - Fax:972-671-2087
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2018-12-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX22886103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist