Doctor Name: | MS. MARTHA JANE LANG |
NPI Number: | 1326252263 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | B.A. |
License Number: | |
Business Practice Address: | 1600 S Main St Bellefontaine, OH - 433111508 |
Business Phone Number: | 9375992766 |
Business Fax Number: | |
Mailing Address: | 217 S Madriver St, BELLEFONTAINE |
State: | OH |
Postal Code: | 433111935 |
Phone Number: | 9375939767 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |