Doctor Name: | MRS. LARA JEAN LANGLEY |
NPI Number: | 1225049190 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED, L.P.C. |
License Number: | 2457 |
Business Practice Address: | 3080 W 3rd St Elk City, OK - 736444323 |
Business Phone Number: | 5802255136 |
Business Fax Number: | 5802255138 |
Mailing Address: | Po Box 1106, ELK CITY |
State: | OK |
Postal Code: | 736481106 |
Phone Number: | 5802255136 |
Fax Number: | 5802255138 |
NPI Enumeration Date: | 08/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2457 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |