| Doctor Name: | MR. EVAN ANDREW LANGHOLT |
| NPI Number: | 1053441022 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSSA LISW |
| License Number: | I8475 |
| Business Practice Address: | 7350 Palisades Pkwy Mentor, OH - 440605302 |
| Business Phone Number: | 4409181000 |
| Business Fax Number: | 4409181029 |
| Mailing Address: | 4449 Silsby Rd, UNIVERSITY HEIGHTS |
| State: | OH |
| Postal Code: | 441183938 |
| Phone Number: | 2163825444 |
| Fax Number: | |
| NPI Enumeration Date: | 03/07/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I8475 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |