Doctor Name: | DR. ABIGAIL SILLS LANG |
NPI Number: | 1053462689 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 1373 |
Business Practice Address: | 409 N 2nd St Montrose, CO - 814013720 |
Business Phone Number: | 9706263432 |
Business Fax Number: | 9706263432 |
Mailing Address: | 227 Marie St, RIDGWAY |
State: | CO |
Postal Code: | 814329006 |
Phone Number: | 9706263432 |
Fax Number: | 9706263432 |
NPI Enumeration Date: | 01/12/2007 |
NPI Last Update Date: | 02/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TF0200X |
License Number: | 1373 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Forensic |
Taxonomy Definition: |