| Doctor Name: | MS. NADINE TOBY LANG |
| NPI Number: | 1346675105 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 001172 |
| Business Practice Address: | 11 Dog Hill Rd Dayville, CT - 062412106 |
| Business Phone Number: | 8607790321 |
| Business Fax Number: | 8607790363 |
| Mailing Address: | 41 Quinebaug Dr, DANIELSON |
| State: | CT |
| Postal Code: | 062394123 |
| Phone Number: | 8607741266 |
| Fax Number: | |
| NPI Enumeration Date: | 09/11/2013 |
| NPI Last Update Date: | 09/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 001172 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |