Doctor Name: | MR. KENNETH ALAN LANGIE |
NPI Number: | 1023143658 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | B.A. |
License Number: | |
Business Practice Address: | 950 Ashbridge Ln Harbor City, CA - 907101502 |
Business Phone Number: | 3105301487 |
Business Fax Number: | |
Mailing Address: | 950 Ashbridge Ln, HARBOR CITY |
State: | CA |
Postal Code: | 907101502 |
Phone Number: | 3105301487 |
Fax Number: | |
NPI Enumeration Date: | 02/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |